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Individual

SUSAN NAGLE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPPC

Contact information

Practice address
4602 RAIL RUNNER RD, SANTA FE, NM 87507-0807
(505) 603-0393
Mailing address
1704 LLANO ST # B115, SANTA FE, NM 87505-5415
(505) 603-0393
(505) 474-6980

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0080601
NM
101YP2500X
Professional Counselor
0080601

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29885566
NM
Enumeration date
04/14/2007
Last updated
05/03/2022
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