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Search › New Mexico › Addiction (Substance Use Disorder) Counselor

Tisa Bernally-Russell, BSW, LSAA

NPI 1972933844 · on the registry since 2013

Practice

Address
101 W Broadway
Suite D
Farmington, NM 87401
Phone
(505) 327-4796
Clinicians at this address
2

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico