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Individual

MS. KRISTINA DIANE TUNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
914 BACA ST, SUITE D, SANTA FE, NM 87505-0972
(505) 992-0282
Mailing address
2978 PLAZA BLANCA, SANTA FE, NM 87507-5340
(505) 992-0282

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2922
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B8038
NM
01
NM100645
VALUE OPTIONS
NM
Enumeration date
01/24/2007
Last updated
07/08/2007
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