Individual
JONATHAN ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
1026 TOMASITA ST NE, ALBUQUERQUE, NM 87112-5536
(505) 221-1275
Mailing address
1026 TOMASITA ST NE, ALBUQUERQUE, NM 87112-5536
(505) 221-1275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0854
NM
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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