Individual
TIA NICOLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3321 CANDELARIA RD NE STE 106, ALBUQUERQUE, NM 87107-1968
(505) 225-1059
Mailing address
PO BOX 35458, ALBUQUERQUE, NM 87176-5458
(505) 225-1059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAD0225031
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0197321
NM
101YP2500X
Professional Counselor
Primary
CTB-2025-0405
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54755221
—
NM
Enumeration date
04/15/2020
Last updated
04/10/2026
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