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Individual

AMY ANNA LASHWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2209 MIGUEL CHAVEZ RD STE F, SANTA FE, NM 87505-7010
(505) 388-2361
(888) 636-7582
Mailing address
7 JORNADA LOOP, SANTA FE, NM 87508-8261
(505) 466-3710
(888) 636-7582

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0225041
NM
101YP2500X
Professional Counselor
5450
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42477751
NM
Enumeration date
07/11/2012
Last updated
06/21/2022
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