Individual
AMBER DISMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1424 DEBORAH RD SE STE 205, RIO RANCHO, NM 87124-6619
(281) 202-7230
(505) 212-6336
Mailing address
3169 ASHKIRK LOOP SE # NA, RIO RANCHO, NM 87124-3614
(281) 202-7230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CTB-2025-0339
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0339
NM
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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