IndividualActive
Aastha Gautam, MA
NPI 1679117667 · Mental Health Counselor · Albuquerque, NM
Provider details
- NPI number
- 1679117667
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- CTB-2024-0795 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6300 Riverside Plaza Ln Nw Ste 100
Albuquerque, NM 87120-1908
Phone: (860) 983-8857
Approximate (ZIP-level) locationGet directions
Mailing address
6300 Riverside Plaza Ln Nw Ste 100
Albuquerque, NM 87120-1908
Registry dates
- Enumerated
- 2019-11-01
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.