Individual
MS. SANDRA L. TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4305 SNOWDEN CT NE, RIO RANCHO, NM 87124-4831
(505) 507-0960
Mailing address
4305 SNOWDEN CT NE, RIO RANCHO, NM 87124-4831
(505) 507-0960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0490
NM
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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