Individual
TINA C LA TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPCC
Contact information
Practice address
4601 PARADISE BLVD NW, SUITE 113, ALBUQUERQUE, NM 87114-6074
(505) 610-9985
(888) 801-4244
Mailing address
6315 VISTA SIERRA ST NW, ALBUQUERQUE, NM 87120-2651
(505) 610-9985
(888) 801-4244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0093691
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98988832
—
NM
Enumeration date
06/05/2007
Last updated
09/16/2008
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