Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | CCMH0151581 | NM |
N | 101YS0200X | School Counselor | 294566 | NM |
NPI | 1053475400 |
---|---|
Provider Name | Ms. Teya Thu Nguyen |
First Address | Albuquerque, NM 87102-4517 |
Second Address | Albuquerque, NM 87108-1257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 13/12/2019 |