Individual
TAHLIA RAINBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1012 MARQUEZ PL # 211, SANTA FE, NM 87505-1834
(505) 989-3340
Mailing address
1012 MARQUEZ PL # 211, SANTA FE, NM 87505-1834
(505) 989-3340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1308
NM
Other
Enumeration date
09/02/2014
Last updated
07/30/2020
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