Individual provider · Type 1 NPI

Tides Profeta

Mental Health Counselor · Santa Fe, NM

NPI number 1396690293 Active

Practice location

3952 San Felipe Rd
Santa Fe, NM 87507-8073

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396690293

Tides Profeta's National Provider Identifier is 1396690293, issued on Mar 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Mar 4, 2026.