Individual
MS. KIM J HAMSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
413 SIPAPU ROAD, BOX 6952, TAOS, NM 87571
(505) 758-5857
(505) 758-2832
Mailing address
PO BOX 228, TAOS, NM 87571
(505) 770-0439
(505) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0088421
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29550009
—
NM
Enumeration date
04/25/2006
Last updated
01/15/2008
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