person
Jill M Tiedemann, LPCC
Mental Health Counselor in Santa Fe, New Mexico
NPI 1104851534

Jill M Tiedemann is a Mental Health Counselor based in Santa Fe, NM and is specialized in Mental Health. Jill M Tiedemann practices in Santa Fe, NM and has the professional credentials of LPCC. The NPI Number for Jill M Tiedemann is 1104851534 and holds a License No. T3476 (New Mexico).

The current practice location address for Jill M Tiedemann is 1601A Saint Michaels Dr, Santa Fe, NM and can be reached out via phone at 505-954-8777 and via fax at 505-954-8793.

Location: 1601A Saint Michaels Dr, Santa Fe, NM, 87505-7614
person
Provider Profile Details
NPI Number
1104851534
Provider Name
Jill M Tiedemann
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
1601A Saint Michaels Dr, Santa Fe, NM, 87505-7614
Phone Number
505-954-8777
Fax Number
505-954-8793
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM600536 01 NM VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
1601A Saint Michaels Dr
City
State
Zip
87505-7614
Phone Number
505-954-8777
Fax Number
505-954-8793
person
Provider Business Mailing Address Details
Address
1601A Saint Michaels Dr
City
State
Zip
87505-7614
Phone Number
505-954-8777
Fax Number
505-954-8793
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T3476 (New Mexico)
Definition
Definition to come...
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