Individual
JAMES EDWIN BRISTOL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., M.DIV., J.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5540
Mailing address
317 PASEO DE PERALTA, SANTA FE, NM 87501-1860
(505) 986-5423
(505) 855-9585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05175
NM
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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