Provider Demographics
NPI:1598919136
Name:LOFTUS, AUBREY ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:ANN
Last Name:LOFTUS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 VISTA PRECIOSA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-3450
Mailing Address - Country:US
Mailing Address - Phone:505-310-2292
Mailing Address - Fax:
Practice Address - Street 1:14 VISTA PRECIOSA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-3450
Practice Address - Country:US
Practice Address - Phone:505-310-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0117181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health