Individual
MS. TARA LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1001 YALE BLVD NE, ALBUQUERQUE, NM 87106-3825
(505) 272-2890
(505) 272-1943
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 459-6980
(505) 272-1943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0112821
NM
101YP2500X
Professional Counselor
Primary
0145061
NM
Other
Enumeration date
07/17/2008
Last updated
06/26/2012
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