Individual
MS. MELODY AMBER VANHOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1010 MARQUEZ PL STE D5, SANTA FE, NM 87505-1724
(530) 953-8876
Mailing address
1010 MARQUEZ PL STE D5, SANTA FE, NM 87505-1724
(530) 953-8876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0200591
NM
Other
Enumeration date
01/07/2019
Last updated
09/03/2021
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