Sierra Rose Yazzie Asamoa-Tutu, LCSW
Social Worker, Clinical in Gallup, NM. Individual provider (NPI-1).
NPI number1215379110
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1215379110
- Entity type
- Individual (NPI-1)
- Name
- Sierra Rose Yazzie Asamoa-Tutu
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2013
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C-11727 | NM | Yes |
| 1041C0700X | Social Worker, Clinical | 22428 | MN | |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Sierra Rose Yazzie (Former Name)
Practice location
3708 Dulce CtGallup, NM 87301-4524
Phone 612-670-3709
Mailing address
Po Box 10Rehoboth, NM 87322-0010
Phone 612-670-3709
Other practice locations
1316 Apache Ave
Santa Fe, NM 87505-3212
Santa Fe, NM 87505-3212
Phone 310-721-4398
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