Provider Demographics
NPI:1891731469
Name:NESWALD, RHONDA ETHEL (PHD, LPCC, ACS, NC)
Entity Type:Individual
Prefix:PROF
First Name:RHONDA
Middle Name:ETHEL
Last Name:NESWALD
Suffix:
Gender:F
Credentials:PHD, LPCC, ACS, NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MARQUETTE AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1861
Mailing Address - Country:US
Mailing Address - Phone:505-350-5695
Mailing Address - Fax:505-275-0296
Practice Address - Street 1:300 CENTRAL AVE SW
Practice Address - Street 2:2500W EXECUTIVE SUITE D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102
Practice Address - Country:US
Practice Address - Phone:505-225-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0069871101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health