Individual
TESS AMELIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
411 SAINT MICHAELS DR STE 2, SANTA FE, NM 87505-7655
(505) 310-1896
(505) 983-0500
Mailing address
941 CALLE MEJIA APT 215, SANTA FE, NM 87501-1462
(505) 830-1871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11309
NM
Other
Enumeration date
10/02/2019
Last updated
04/30/2026
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