Individual
MR. NATHANIEL LUKAS REDEKOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPCC
Contact information
Practice address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 249-4950
Mailing address
1111 10TH ST # 400, ALAMOGORDO, NM 88310-6413
(505) 331-4429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0210781
NM
101YP2500X
Professional Counselor
Primary
CTB-2022-0915
NM
Other
Enumeration date
04/16/2020
Last updated
12/06/2022
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