Individual
AASTHA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6300 RIVERSIDE PLAZA LN NW STE 100, ALBUQUERQUE, NM 87120-1908
(860) 983-8857
Mailing address
6300 RIVERSIDE PLAZA LN NW STE 100, ALBUQUERQUE, NM 87120-1908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0795
NM
Other
Enumeration date
11/01/2019
Last updated
03/21/2025
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