Individual
MS. NANCY ELIZABETH TISDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
615 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 426-8095
(877) 543-5897
Mailing address
615 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 426-8095
(877) 543-5897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0120621
NM
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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