Individual
JIANDAN PAYZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4100 LUCIA LANE, SANTA FE, NM 87505
(505) 471-4985
Mailing address
1400 LUCIA LANE, SANTA FE, NM 87505
(505) 471-4985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 0662
NM
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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