Individual
JUDITH ANN WEISSMUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., L.P.C.
Contact information
Practice address
1487 CLARK RD, SANTA FE, NM 87507-5174
(505) 474-5268
Mailing address
1487 CLARK RD, SANTA FE, NM 87507-5174
(505) 474-5268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1805
NM
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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