Doctor Name: | TENA BONNELL SPITSBERG |
NPI Number: | 1124351812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LMHC |
License Number: | T-0123601 |
Business Practice Address: | 1304 College Ave Alamogordo, NM - 883104960 |
Business Phone Number: | 5758126118 |
Business Fax Number: | |
Mailing Address: | 1304 College Ave, ALAMOGORDO |
State: | NM |
Postal Code: | 883104960 |
Phone Number: | 5758126118 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 12/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | T-0123601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |