Individual
SEPIDEH MAJD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5686B AGUA FRIA ST, SANTA FE, NM 87507
(505) 983-0586
Mailing address
334 W ZIA RD, SANTA FE, NM 87505-5723
(505) 303-8180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0150651
NM
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841554342
—
NM
Enumeration date
06/28/2012
Last updated
05/18/2018
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