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Individual

TAMARA SOAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
1660 OLD PECOS TRL STE A, SANTA FE, NM 87505-4779
(505) 657-9708
(505) 395-9295
Mailing address
245 CASADOS ST APT D, SANTA FE, NM 87501-2934
(541) 200-4094

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-837
WY
101YM0800X
Mental Health Counselor
Primary
CCMH0220091
NM
101YP2500X
Professional Counselor
C4092
OR

Other

Enumeration date
06/04/2014
Last updated
07/26/2024
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