Individual
VICKI HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BONITO RD, SANTA FE, NM 87508-8792
(415) 699-5328
Mailing address
4 BONITO RD, SANTA FE, NM 87508-8792
(415) 699-5328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCSW14354
CA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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