Individual
ALEISA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
208 PASEO DEL PUEBLO SUR UNIT 204, TAOS, NM 87571-5974
(575) 425-5485
Mailing address
208 PASEO DEL PUEBLO SUR UNIT 204, TAOS, NM 87571-5974
(575) 425-5485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0979
NM
101YM0800X
Mental Health Counselor
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73725773
—
NM
Enumeration date
07/14/2020
Last updated
05/19/2023
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