Individual
MICHELLE HASWOOD, LMHC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 290-3206
Mailing address
PO BOX 1472, CROWNPOINT, NM 87313-1472
(505) 290-3206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2020
Last updated
10/15/2020
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