Healthcare Provider Details

I. General information

NPI: 1609861269
Provider Name (Legal Business Name): JEAN EVA THUMM-BOCHENSKI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JEAN EVA THUMM

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 ESTAMBRE RD
SANTA FE NM
87508-8769
US

IV. Provider business mailing address

30 ESTAMBRE RD
SANTA FE NM
87508-8769
US

V. Phone/Fax

Practice location:
  • Phone: 505-466-4990
  • Fax: 505-466-4990
Mailing address:
  • Phone: 505-466-4990
  • Fax: 505-466-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4349
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: