Individual
DR. SARA SIMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D., LPCC
Contact information
Practice address
2600 MARBLE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2190
(505) 272-3466
Mailing address
11313 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87112-5545
(505) 293-9071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2156
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11460018
CAQH PROVIDER ID
NM
Enumeration date
01/23/2006
Last updated
07/08/2007
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