Individual
JONATHAN SOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHCA, LMHC, ATR-P,
Contact information
Practice address
3000 10TH ST NW, ALBUQUERQUE, NM 87107-1113
(212) 564-8818
Mailing address
3000 10TH ST NW, ALBUQUERQUE, NM 87107-1113
(212) 564-8818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023-0853
NM
Other
Enumeration date
11/09/2023
Last updated
11/20/2023
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