Individual provider · Type 1 NPI

Emily Fossum, LPCC

Professional Counselor · Espanola, NM

NPI number 1528501079 Active

Practice location

835 Spruce St Ste C&d
Espanola, NM 87532-3455

Call (505) 747-7400 Map

Fax (505) 747-7403

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XCC01318 (MN)
Professional Counselor 101YP2500XNone listed
Professional Counselor Primary 101YP2500XCCMH0224041 (NM)

Professional Counselor: Definition to come...

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About NPI 1528501079

Emily Fossum, LPCC's National Provider Identifier is 1528501079, issued on Nov 30, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Espanola, NM. The record was last updated on Apr 25, 2024.