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Individual

MS. LAURA L LANSRUD-LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LPAT, ATR-BC

Contact information

Practice address
3600 CERRILLOS RD, SUITE 714 F, SANTA FE, NM 87507-2612
(505) 310-2121
Mailing address
4751 ARROYO RISUENO, SANTA FE, NM 87507-4612
(505) 310-2121

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0130401
NM
101YP2500X
Professional Counselor
Primary
0127681
NM

Other

Enumeration date
07/23/2007
Last updated
12/19/2024
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