Doctor Name: | BEATRICE HOLTZ ILUMIN |
NPI Number: | 1194813386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LMHC |
License Number: | 39476 |
Business Practice Address: | 4100 Lucia Ln Santa Fe, NM - 875073000 |
Business Phone Number: | 5054714985 |
Business Fax Number: | 5054716084 |
Mailing Address: | 4100 Lucia Ln, SANTA FE |
State: | NM |
Postal Code: | 875073000 |
Phone Number: | 5054714985 |
Fax Number: | 5054716084 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 39476 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |