Individual
ELISE PARDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9633
(505) 474-4663
Mailing address
PO BOX 690, TESUQUE, NM 87574
(505) 699-5533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0112961
NM
Other
Enumeration date
08/10/2007
Last updated
08/27/2012
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