Individual
SARA LISA KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC,MAT,MSP,NCPM
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Mailing address
5 MOGOLLON CT, CEDAR CREST, NM 87008-9521
(505) 227-3094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0223391
NM
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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