Laurissa Bustillos, MS
Marriage & Family Therapist in Santa Fe, NM. Individual provider (NPI-1).
NPI number1871007138
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1871007138
- Entity type
- Individual (NPI-1)
- Name
- Laurissa Bustillos
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2017
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T-0193001 | NM | Yes |
Practice location
2504 Camino EntradaSanta Fe, NM 87507-4851
Phone 505-471-4985
Mailing address
5207 Via Del SolSanta Fe, NM 87507-3638
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All 63 Marriage & Family Therapist providers in Santa Fe · All 5,869 providers in Santa Fe
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