Individual
SHANE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4001 OFFICE COURT DR STE 602, SANTA FE, NM 87507-4929
(505) 207-8929
Mailing address
4001 OFFICE COURT DR STE 602, SANTA FE, NM 87507-4929
(505) 207-8929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0538
NM
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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