Individual
LAURA ADDISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7689B OLD SANTA FE TRL, SANTA FE, NM 87505-9348
(404) 290-4682
Mailing address
7689B OLD SANTA FE TRL, SANTA FE, NM 87505-9348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
03/17/2025
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