MEDICARE: TISHA MARIE SJOSTRAND LMHC, LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0104951	NM

General Provider Information

NPI Number	:	1306175518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TISHA MARIE SJOSTRAND LMHC, LPN

Provider Business Mailing Address
First Line	:	2126 PAM Y EUTILIA
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-3257
Country	:	US
Telephone Number	:	505-699-6751
Fax Number	:

Provider Business Practice Location Address
First Line	:	2126 PAM Y EUTILIA
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-3257
Country	:	US
Telephone Number	:	505-699-6751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2009
Last Update Date	:	12/17/2009

Similar Medicare Providers

1992887095 — MR. MICHAEL J. SHERMAN
Practice Location Address:

2603 CERRILLOS RD
SANTA FE, NM
87505-3257

Practice Phone: 505-474-9323
Practice Fax:

1730360868 — ABLE 2 SCOOT
Practice Location Address:

2603 CERRILLOS RD
SANTA FE, NM
87505-3257

Practice Phone: 505-474-9323
Practice Fax:

1730511783 — MR. VICTOR SERRANO
Practice Location Address:

4621 NW SANTA FE AVE
LAWTON, OK
73505-3257

Practice Phone: 580-230-4443
Practice Fax:

1013110352 — JEFFREY W. FRUIN DDS, INC
Practice Location Address:

3257 CAINO DE LOS COCHES 306
SANTA BARBARA, CA
92009

Practice Phone: 760-634-8100
Practice Fax: 760-634-8130

1275789711 — JOHN BODEN MD LLC
Practice Location Address:

6879 US HIGHWAY 98 W
SANTA ROSA BEACH, FL
32459-3257

Practice Phone: 850-502-1363
Practice Fax: 850-837-4837

1760936595 — GARFIELD BEACH CVS LLC
Practice Location Address:

336 N MILPAS ST
SANTA BARBARA, CA
93103-3257

Practice Phone: 805-560-0092
Practice Fax:

Directions to “ TISHA MARIE SJOSTRAND LMHC, LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.