Healthcare Provider Details

I. General information

NPI: 1710534375
Provider Name (Legal Business Name): TENDER PRESENCE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 COORS BLVD NW STE 307C
ALBUQUERQUE NM
87120-1173
US

IV. Provider business mailing address

7708 RANCHWOOD DR NW
ALBUQUERQUE NM
87120-4021
US

V. Phone/Fax

Practice location:
  • Phone: 505-508-9841
  • Fax: 888-684-5934
Mailing address:
  • Phone: 505-508-9841
  • Fax: 888-684-5934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAN M VOSHART
Title or Position: PRESIDENT
Credential: MA, LPCC
Phone: 505-508-9841