Individual
LISA DIAN WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
411 SAINT MICHAELS DR STE 2, SANTA FE, NM 87505-7655
(505) 690-8322
Mailing address
411 SAINT MICHAELS DR STE 2, SANTA FE, NM 87505-7655
(505) 690-8322
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0065012
NM
Other
Enumeration date
10/25/2006
Last updated
03/17/2018
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