Individual
LINDA CHACE BRISLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
455 HANSON RD., CORRALES, NM 87048-0870
(505) 385-8154
Mailing address
PO BOX 870, CORRALES, NM 87048-0870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0137521
NM
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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