Individual
TARA SEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY BLVD NE, SUITE 500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE, SUITE 500, ALBUQUERQUE, NM 87102-2360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0170481
NM
101YM0800X
Mental Health Counselor
MC60292704
WA
101YP2500X
Professional Counselor
Primary
CCMH0170481
NM
Other
Enumeration date
07/10/2012
Last updated
07/22/2021
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