Individual
CHARLETTE A FORTEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
37 PASEO DEL PINON, SANTA FE, NM 87508-9371
(720) 278-9928
Mailing address
37 PASEO DEL PINON, SANTA FE, NM 87508-9371
(720) 278-9928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
131924
IA
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0677
NM
Other
Enumeration date
07/29/2014
Last updated
02/17/2026
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