Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | CMH0199941 | NM |
NPI | 1003151994 |
---|---|
Provider Name | Paula Strongheart |
First Address | Santa Fe, NM 87501-4391 |
Second Address | Santa Fe, NM 87505-6351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2012 |
Last Update Date | 06/08/2020 |