Emily Fossum, LPCC
NPI #1528501079 in Espanola, New Mexico
Provider Information
- NPI Number
- 1528501079
- Entity Type
- Individual
- Name
- Emily Fossum, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Nov 30, 2016
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 835 SPRUCE ST STE C&D
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-3455
- Phone
- (505) 747-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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