Individual
ERIN SIBLEY DOERWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
518 OLD SANTA FE TRL STE 1, SANTA FE, NM 87505-0398
(505) 819-1492
Mailing address
7430 OLD SANTA FE TRL, SANTA FE, NM 87505-4574
(505) 819-1492
(505) 294-1056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
08-00033470
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2837987
SCC#
—
Enumeration date
03/29/2018
Last updated
03/29/2018
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