Individual
MS. SUSAN BALKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADAC, CPCC
Contact information
Practice address
546 HARKLE RD, SANTA FE, NM 87505-4784
(505) 795-9027
Mailing address
PO BOX 29503, 15 ENMEDIO PLACE, SANTA FE, NM 87592-9503
(505) 795-9027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3626
NM
101YM0800X
Mental Health Counselor
Primary
1131
NM
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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