Individual
LISA M PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507
(505) 471-5006
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CCMH0196551
NM
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CCMH0196551
NM
Other
Enumeration date
12/08/2014
Last updated
05/24/2018
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