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State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0107451 Lorene Kay Aaron-Brass 0131981 Marriage and Family Therapist Lorene Kay Aaron-Brass 0117981 Clinical Mental Health Counselor (LPCC) Christine Abassary 0315 Licensed Mental Health Counselor Josephine M. Abbenante 5023 Art Therapist Barbara G. Abbott, Ed.D 0064041 Licensed Mental Health Counselor Heather Abella 0154371 Licensed Mental Health Counselor Heather Abella 1271 Temporary License Brenda R. Abercrombie 006083 Clinical Mental Health Counselor (LPCC) Brenda R. Abercrombie 0150781 Alcohol and Drug Counselor Dennis B. Abernathy 0134611 Clinical Mental Health Counselor (LPCC) Angelene R. Abeyta 0147431 Licensed Mental Health Counselor Elena Abeyta 0154091 Temporary License Elena Abeyta 006103 Temporary License Mark James Abeyta 1773 Clinical Mental Health Counselor (LPCC) Mary K. Abeyta Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1600 Delano Drive Las Cruces NM 88001 Dona Ana Active 09/18/2007 09/30/2014 1600 Delano Drive Las Cruces NM 88001 Dona Ana Active 05/11/2010 09/30/2013 9905 Mesa Arriba Avenue NE Albuquerque NM 87111 Bernalillo Active 10/30/2008 09/30/2014 4808 McKnight NE Albuquerque NM 87110 Bernalillo Active 05/31/1994 09/30/2013 1724 Marquis Hobbs NM 88240 Lea Active 08/31/1999 09/30/2013 5008 Costa Maresme Dr. NW Albuquerque NM 87120 Bernalillo Active 08/31/2002 09/30/2013 5008 Costa Maresme Dr. NW Albuquerque NM 87120 Bernalillo Active 10/23/2012 05/31/2013 Box 306 Alamogordo NM 88311 Otero Active 05/31/1998 09/30/2013 Box 306 Alamogordo NM 88311 Otero Active 01/31/2002 09/30/2013 P.O. Box 25405 Albuquerque NM 87125 Bernalillo Active 06/14/2012 09/30/2013 2113 Hot Springs Blvd. Las Vegas NM 87701 San Miguel Active 08/27/2010 09/30/2013 P.O. Box 22813 Santa Fe NM 87502 Santa Fe Null and Void 02/27/2012 12/31/2012 P.O. Box 22813 Santa Fe NM 87502 Santa Fe Active 10/12/2012 07/31/2013 6732 Calle Santiago NE Albuquerque NM 87113 Bernalillo Active 05/31/2002 09/30/2013 P.O. Box 5822 Hobbs NM 88241 Lea Active 07/31/1994 09/30/2013 Page 1 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005853 Mary K. Abeyta 0074141 Alcohol and Drug Counselor Paula T. Abeyta 0083811 Clinical Mental Health Counselor (LPCC) Terri R. Abraham 0135621 Clinical Mental Health Counselor (LPCC) Roylee J. Accetta 0096611 Licensed Mental Health Counselor Rodolfo A. Acuna 0104001 Licensed Mental Health Counselor Hamed Adaime 0145261 Professional Mental Health Counselor Hamed Adaime 1442 Clinical Mental Health Counselor (LPCC) Constance M. Adams 0053 Professional Mental Health Counselor Julia M. Adams 4412 Marriage and Family Therapist Lance Adams 0144461 Marriage and Family Therapist Michael J. Adams 0092971 Substance Abuse Associate Paula L. Adams 0094961 Alcohol and Drug Counselor Stephen S. Adams 0103981 Clinical Mental Health Counselor (LPCC) Tina M. Adams 0083151 Substance Abuse Associate Nicole Jeanne Addison Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 5822 Hobbs NM 88241 Lea Active 01/31/2002 09/30/2013 P.O. Box 55 Dona Ana NM 88032 Dona Ana Active 06/24/2004 09/30/2013 10405 Constitution Ave. NE Albuquerque NM 87112 Bernalillo Active 07/07/2005 09/30/2014 P.O. Box 2930 Corrales NM 87048 Sandoval Active 10/21/2010 09/30/2014 10644 Neptune St. NW Albuquerque NM 87114 Bernalillo Expired 09/15/2006 09/30/2009 P.O. Box 6524 Las Cruces NM 88006 Dona Ana Upgraded 05/23/2007 09/30/2012 P.O. Box 6524 Las Cruces NM 88006 Dona Ana Active 11/30/2011 09/30/2013 1341 E. Ft. Lowell Rd., #A Tucson AZ 85719 Pima Expired 07/31/1994 09/30/2000 2056 Washington Rd. Waldoboro ME 04572 Lincoln Active 09/30/1994 09/30/2013 14 Cedar Ridge Rd. Edgewood NM 87015 Santa Fe Active 01/31/1999 09/30/2014 PO Box 480 Taos NM 87571 Taos Active 10/26/2011 09/30/2013 #83 CR 3450 Flora Vista NM 87415 San Juan Active 05/22/2006 09/30/2013 5919 N. Lamesa Drive Hobbs NM 88242 Lea Active 08/02/2006 09/30/2013 P.O. Box 2577 Ruidoso Downs NM 88346 Lincoln Active 05/23/2007 09/30/2014 100 Falcon Court Clovis NM 88101 Curry Active 06/28/2005 09/30/2013 Page 2 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 006231 Louise Adelstone 0110781 Clinical Mental Health Counselor (LPCC) Peter M. Ader 0067422 Licensed Mental Health Counselor Susan E. Aders 0144501 Licensed Mental Health Counselor Adrianne T. Aguilera 0149741 CEU Provider Certificate Adrienne Wilson 0112491 CEU Provider Certificate Age to Age Counseling,PC 1130 CEU Provider Certificate Eugene G. Agnes, Ph.D, LPCC 0099721 Clinical Mental Health Counselor (LPCC) Stephanie Ann Agnew 0127871 Professional Mental Health Counselor Stephanie Ann Agnew 1188 Clinical Mental Health Counselor (LPCC) MaryEllen Agolia 0091301 Clinical Mental Health Counselor (LPCC) Roger A. Aguiar 0149801 Clinical Mental Health Counselor (LPCC) Christopher D Aguilar 0155361 Temporary License Christopher D Aguilar 0132011 Temporary License Gail Aguilar 0131001 Alcohol and Drug Counselor Maura Guadalupe Aguilar Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 14125 Albuquerque NM 87191 Bernalillo Active 12/31/2001 09/30/2013 335 Otero Street Santa Fe NM 87501 Santa Fe Active 01/28/2008 09/30/2013 518 Old Santa Fe Trail Suite 1 Santa Fe NM 87505 Santa Fe Retired 08/31/2003 09/30/2009 3751 Del Rey Blvd. Las Cruces NM 88012 Dona Ana Active 10/26/2011 09/30/2013 3172 Rio Arriba Loop Las Cruces NM 88012 Dona Ana Active 05/01/2012 09/30/2013 P.O. Box 608 Cedar Crest NM 87008 Bernalillo Active 04/03/2008 09/30/2013 # 2 Gerry Court Moriarty NM 87035 Torrance Active 07/31/1995 09/30/2014 1103 McKinley Avenue Alamogordo NM 88310 Otero Expired 01/08/2007 09/30/2009 1103 McKinley Avenue Alamogordo NM 88310 Otero Active 12/02/2009 09/30/2013 P.O. Box 351 High Rolls Mountain Park NM 88325 Otero Active 06/30/1994 09/30/2014 2601 Wyoming NE Suite 101 Albuquerque NM 87112 Bernalillo Active 03/20/2006 09/30/2013 12 Sagebrush Way PO Box 397 Ribera NM 87560 12 Sagebrush Way PO Box 397 Ribera NM 87560 PO Box 4198 San Felipe NM 87001 San Miguel Null and Void 05/03/2012 12/31/2012 San Miguel Active 12/06/2012 07/31/2013 Sandoval Active 05/12/2010 09/30/2013 127 Marquita Lane El Paso TX 79915 El Paso Active 04/05/2010 09/30/2013 Page 3 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0133691 Mohamed F. Ahmed 0148731 Substance Abuse Associate Mohamed F. Ahmed 0154601 Temporary License Mohamed F. Ahmed 0155341 Temporary License Mohamed F. Ahmed 0149491 Temporary License Casey R. Ahner 0122571 Licensed Mental Health Counselor Elisabeth L. Ahntholz 0139461 Clinical Mental Health Counselor (LPCC) Jennifer R.E. Alamond 1189 Clinical Mental Health Counselor (LPCC) Virginia L. Alaniz 0144911 Clinical Mental Health Counselor (LPCC) Gail Frances Albers 0111931 Licensed Mental Health Counselor Anastasia L. Albert 0129221 Alcohol and Drug Counselor Anastasia L. Albert 0150661 Clinical Mental Health Counselor (LPCC) Cecelia Anne Albert 0061932 Clinical Mental Health Counselor (LPCC) Lena Rose Albert 0271 Licensed Mental Health Counselor Katherine A. Albin 0126641 Clinical Mental Health Counselor (LPCC) Alan A. Albo Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 524 Chestnut St Clayton NM 88415 Union Active 07/22/2010 09/30/2013 524 Chestnut St Clayton NM 88415 Union Null and Void 04/03/2012 10/31/2012 524 Chestnut St Clayton NM 88415 Union Active 10/30/2012 04/30/2013 524 Chestnut St Clayton NM 88415 Union Active 12/06/2012 07/31/2013 11 Camino Del Sol Los Lunas NM 87031 Valencia Active 04/24/2012 09/30/2013 3905 Heron Marsh Circle Johns Island SC 29455 Charleston Active 04/23/2009 09/30/2013 729 Sonora Rd. NE Rio Rancho NM 87144 Sandoval Active 04/18/2011 09/30/2014 1620 7th Street Las Vegas NM 87701 San Miguel Active 06/30/1994 09/30/2013 6211 Sunray Rd. NW Albuquerque NM 87120 Bernalillo Active 11/16/2011 09/30/2013 Po Box 13796 Las Cruces NM 88013 Dona Ana Active 03/12/2008 09/30/2014 Po Box 13796 Las Cruces NM 88013 Dona Ana Active 01/28/2010 09/30/2013 P.O. Box 6958 Santa Fe NM 87502 Santa Fe Active 06/12/2012 09/30/2013 6 Calle Plazuela Santa Fe NM 87507 Santa Fe Active 12/31/2002 09/30/2014 3707 Torrey Pines Road SE Rio Rancho NM 87124 Sandoval Active 05/31/1994 09/30/2013 1100 Santiago Avenue Farmington NM 87401 San Juan Active 10/09/2009 09/30/2013 Page 4 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154341 Alan A. Albo 0151921 Temporary License Albuquerque Family Counseling 0145881 CEU Provider Certificate Albuquerque Metro Central Intake 0153591 CEU Provider Certificate Stephanie M Albury 0118011 Licensed Mental Health Counselor Michelle Marie Aldana 5214 Licensed Mental Health Counselor Sylvia Aldaz-Osbourn 0152541 Substance Abuse Associate Sabra R. Alderete 005857 Substance Abuse Associate Micaela Alexander 0113731 Alcohol and Drug Counselor Rebekkah Alexander 0153481 Clinical Mental Health Counselor (LPCC) Cynthia J. Alexis 0137271 Temporary License Charlene Erin Alfero 0122371 Alcohol and Drug Counselor Alice Trujillo (San Juan College) 0144521 CEU Provider Certificate All Faiths Recieving Home 3071 CEU Provider Certificate Cedric All-Runner 0123631 Licensed Mental Health Counselor Patricia M. Allaire Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1100 Santiago Avenue Farmington NM 87401 San Juan Active 10/19/2012 04/30/2013 2900 Louisiana Blvd. NE Suite A2 Albuquerque NM 87110 Bernalillo Active 08/06/2012 09/30/2013 3121-B Amherst NE Albuquerque NM 87107 Bernalillo Active 12/28/2011 09/30/2013 627 Salazar Street Santa Fe NM 87505 Santa Fe Active 09/21/2012 09/30/2014 5130 Cordoniz NW Albuquerque NM 87120 Bernalillo Active 10/31/2008 09/30/2014 1001 Hickory Drive Las Cruces NM 88005 Dona Ana Active 12/31/1999 09/30/2014 809 N. Caballo Road Truth or Consequences NM 87901 Sierra Active 08/22/2012 09/30/2013 9 Moone Creek Circle Smithfield VA 23430 Isle of Wight Active 01/31/2002 09/30/2013 P.O. Box 101503 Fort Worth TX 76185 Tarrant Retired 05/19/2008 09/30/2012 58 Luz Del Mundo Santa Fe NM 87508 Santa Fe Active 09/17/2012 04/30/2013 PO Box 282 Lemitar NM 87823 Socorro Active 01/07/2011 09/30/2014 4601 College Blvd. Farmington NM 87402 San Juan Expired 04/14/2009 09/30/2009 1709 Moon St. NE Albuquerque NM 87112 Bernalillo Active 10/26/2011 09/30/2013 5945 Eucariz SW Albuquerque NM 87121 Bernalillo Active 09/30/1995 09/30/2013 1280 Sunset SW Albuquerque NM 87105 Bernalillo Active 06/11/2009 09/30/2013 Page 5 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0091041 Tamara Dawn Allen-Wolf 0149941 Clinical Mental Health Counselor (LPCC) Catherine L Allen 0129371 Licensed Mental Health Counselor Dianna Wright Allen 3130 Clinical Mental Health Counselor (LPCC) Jennifer Kay Allen 0095571 Art Therapist Jennifer Kay Allen 0150211 Clinical Mental Health Counselor (LPCC) Jesse N Allen 3438 Clinical Mental Health Counselor (LPCC) Marvin L. Allen 0074461 Alcohol and Drug Counselor Rebecca H. Allen 0796 Substance Abuse Associate Sondra K. Allen 0143421 Clinical Mental Health Counselor (LPCC) Timothy G. Allen 3873 Alcohol and Drug Counselor Kathleen W. Almaguer 0148461 Alcohol and Drug Counselor Francisco Alonzo 0153181 Temporary License Francisco Alonzo 1458 Temporary License Mary E. Alonzo 0390 Clinical Mental Health Counselor (LPCC) Fred L. Altenhaus Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 821 Ponderosa Avenue NW Albuquerque NM 87107 Bernalillo Retired 12/14/2005 09/30/2009 820 Turner Drive NE Albuquerque NM 87123 Bernalillo Active 05/16/2012 09/30/2013 P.O. Box 50372 Albuquerque NM 87181 Bernalillo Active 02/03/2010 09/30/2013 P.O. Box 192 Scott City KS 67871 Scott Retired 01/31/1998 09/30/2008 P.O. Box 192 Scott City KS 67871 Scott Expired 08/16/2006 09/30/2007 9 Camino Sudeste Santa Fe NM 87508 Santa Fe Active 05/25/2012 09/30/2013 5900 Leaping Lizard Loop Las Cruces NM 88012 Dona Ana Active 01/31/1997 09/30/2014 1815 Arizona NE Albuquerque NM 87110 Bernalillo Active 07/14/2004 09/30/2013 P.O. Box 102 Tatum NM 88267 Lea Active 06/30/1994 09/30/2014 1720 Ira. Dr. Rio Rancho NM 87144 Sandoval Active 09/22/2011 09/30/2014 P.O. Box 401 Lovington NM 88260 Lea Active 01/31/1997 09/30/2013 3960 Tierra Iris El Paso TX 79938 El Paso Null and Void 03/28/2012 10/31/2012 3960 Tierra Iris El Paso TX 79938 El Paso Active 09/07/2012 04/30/2013 240 Estancia NW Albuquerque NM 87105 Bernalillo Active 07/31/1994 09/30/2014 1414 Madrid Place Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2014 Page 6 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0085181 Phyllis Cook Altenhaus 0149201 Clinical Mental Health Counselor (LPCC) Tirzah K. Alva 0150151 Licensed Mental Health Counselor Olga L. Alvara 0132781 Licensed Mental Health Counselor Brenda Lynn Alvarado 0113181 Clinical Mental Health Counselor (LPCC) Matthew Shance Alvarado 0120431 Licensed Mental Health Counselor Darlene Jean Alvord 0147911 Substance Abuse Associate Ocala I. Alworth 0103401 Licensed Mental Health Counselor Austin Amanambu 0147631 Licensed Mental Health Counselor Isabel C. Amancio 0137781 Marriage and Family Therapist Rebecca A Amati 1190 Licensed Mental Health Counselor Amber Elizabeth L. Gray, Restorative Resources Training & Consulting CEU Provider Certificate Constance S. Amidon 0136161 Clinical Mental Health Counselor (LPCC) Marcus L. Amos 0137631 Substance Abuse Associate Amy Cortese, LPCC 0110871 CEU Provider Certificate Debra Anaya 0101441 Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1414 Madrid Place Santa Fe NM 87505 Santa Fe Active 08/23/2005 09/30/2014 2205 Ambassador Rd. NE Apt. 425 Albuquerque NM 87112 Bernalillo Active 04/17/2012 09/30/2013 300 Richard Dr. Apt. A Las Cruces NM 88007 Dona Ana Active 05/24/2012 09/30/2013 1236 Oakwood Circle Portales NM 88130 Roosevelt Active 06/10/2010 09/30/2013 1236 Oakwood Circle Portales NM 88130 Roosevelt Active 04/29/2008 09/30/2014 310 Cedar Street Clayton NM 88415 Union Active 02/10/2009 09/30/2013 1437 Monte Largo Dr. NE Albuquerque NM 87112 Bernalillo Active 03/19/2012 09/30/2013 3668 Morenci Road El Paso TX 79903 El Paso Active 05/03/2007 09/30/2014 120 S. Church St. #219 Visalia CA 93291 Tulare Active 03/01/2012 09/30/2013 4202 Chavez Road Las Cruces NM 88007 Dona Ana Active 02/07/2011 09/30/2014 118 Temblon St. Santa Fe NM 87501 Santa Fe Active 02/28/2007 09/30/2013 410 Cortez Place Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2014 4201 Crosby Dr. B-2 Knoxville TN 37909 Knox Active 11/12/2010 09/30/2014 5 Estambre Ct. Santa Fe NM 87508 Santa Fe Active 01/28/2011 09/30/2013 220 Morning Dawn Ave. El Paso TX 79932 El Paso Active 01/30/2008 09/30/2013 Page 7 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1777 Francine L. Anaya 0110821 Professional Mental Health Counselor Jacqueline D. Anaya 0105931 Marriage and Family Therapist Marla Kay Anaya, Lowery 0146011 Alcohol and Drug Counselor Marla Kay Anaya, Lowery 0092621 Clinical Mental Health Counselor (LPCC) Melvin Gabriel Anaya 0117781 Alcohol and Drug Counselor Melvin Gabriel Anaya 0065252 Licensed Mental Health Counselor Michele M. Anaya 0123731 Licensed Mental Health Counselor Quintina R. Anaya 0095611 Alcohol and Drug Counselor Victoria P. Anaya 2355 Clinical Mental Health Counselor (LPCC) Amy E. Anderson 2179 Clinical Mental Health Counselor (LPCC) Ann Stege Anderson 3566 Clinical Mental Health Counselor (LPCC) Ann Stege Anderson 0150841 Alcohol and Drug Counselor Carrie Anderson 0218 Temporary License Charles R. Anderson 0092351 Clinical Mental Health Counselor (LPCC) Christi LeAnn Anderson Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date HCR 74, Box 21401 El Prado NM 87529 Taos Active 07/31/1994 09/30/2013 5700 Hayes dr NW Albuquerque NM 87120 Bernalillo Active 01/29/2008 09/30/2014 P.O. Box 8075 Roswell NM 88202 Chaves Active 07/24/2007 09/30/2014 P.O. Box 8075 Roswell NM 88202 Chaves Active 01/04/2012 09/30/2013 P.O. Box 8075 Roswell NM 88202 Chaves Active 05/05/2006 09/30/2013 P.O. Box 8075 Roswell NM 88202 Chaves Active 10/27/2008 09/30/2014 6401 Evesham Rd. NW Albuquerque NM 87120 Bernalillo Active 12/31/2002 09/30/2014 P.O. Box 981 Paguate NM 87040 Cibola Active 06/16/2009 09/30/2013 8204 southern se Albuquerque NM 87108 Bernalillo Active 08/16/2006 09/30/2013 958 Tsankawi Street Los Alamos NM 87544 Los Alamos Retired 11/30/1994 09/30/2009 612 N. Kentucky Avenue Roswell NM 88201 Chaves Active 09/30/1994 09/30/2013 612 N. Kentucky Avenue Roswell NM 88201 Chaves Active 06/30/1997 09/30/2014 PO Box 483 Fort Defiance AZ 86504 Apache Active 06/19/2012 01/31/2013 494 S. Roosevelt Rd. X Portales NM 88130 Roosevelt Active 03/31/1995 09/30/2014 HC 71 Box 1163 Capitan NM 88316 Lincoln Expired 04/26/2006 09/30/2009 Page 8 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0110041 Christi LeAnn Anderson 0109261 Licensed Mental Health Counselor Clayton Daniel Anderson 1192 Licensed Mental Health Counselor John K. Anderson 3739 Clinical Mental Health Counselor (LPCC) Linda Anderson 0115181 Alcohol and Drug Counselor Mary Jeanette Anderson 3760 Licensed Mental Health Counselor Raymond D. Anderson 0087421 Alcohol and Drug Counselor Raymond D. Anderson 3900 Clinical Mental Health Counselor (LPCC) Renita T. Anderson 0127671 Alcohol and Drug Counselor Tabatha Dawn Anderson 0929 Substance Abuse Associate Denise A. Andes 0915 Professional Mental Health Counselor Ronald L. Andes 0177 Professional Mental Health Counselor Joseph J. Andrade, III 0111671 Clinical Mental Health Counselor (LPCC) Andrea Campbell 1068 CEU Provider Certificate Judith R. Andreica 0119321 Clinical Mental Health Counselor (LPCC) Maurine Jennifer Andrews Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date HC 71 Box 1163 Capitan NM 88316 Lincoln Active 12/18/2007 09/30/2013 220 Stratus Road El Paso TX 79912 El Paso Expired 11/19/2007 09/30/2009 204 SW 13th St. Seminole TX 79360 Gaines Active 06/30/1994 09/30/2014 P.O. Box 1421 Bernalillo NM 87004 Sandoval Active 06/30/1997 09/30/2013 8800 Old Glory Court NE Albuquerque NM 87109 Bernalillo Active 07/14/2008 03/31/2014 P.O. Box 4939 Santa Fe NM 87502-4939 Santa Fe Active 02/28/1997 09/30/2014 P.O. Box 4939 Santa Fe NM 87502-4939 Santa Fe Active 10/21/2005 09/30/2014 P.O. Box 2458 Shiprock NM 87420 San Juan Active 06/30/1997 09/30/2014 14600 Knowles Road Lovington NM 88260 Lea Active 11/24/2009 09/30/2013 138 Ridgecrest Dr. Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 138 Ridgecrest Dr. Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2013 1927 Moon Street NE Albuquerque NM 87112 Bernalillo Active 06/30/1994 09/30/2013 1 Spur Cross Pl. Santa Fe NM 87508 Santa Fe Active 02/26/2008 09/30/2013 1220 Mt. Taylor Ave. Grants NM 87020 Cibola Active 05/31/1998 09/30/2014 705 Arcturus Ave. SE Rio Rancho NM 87124 Sandoval Active 01/09/2009 09/30/2014 Page 9 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0106831 Eileen Genevieve Andricovich 0133171 Marriage and Family Therapist Juan Angel 0103531 Substance Abuse Associate Lucia M. Anglada 0155751 Licensed Mental Health Counselor Kelly Darlene Anglin 0121041 Licensed Mental Health Counselor Ann Marie McKelvey 0117101 CEU Provider Certificate Ann S. Anderson 0070331 CEU Provider Certificate Anna Katherine 0079781 CEU Provider Certificate Annabelle X. Gutierrez Sisneros 0151591 CEU Provider Certificate Anthony E. Annicchiarico 0153951 Licensed Mental Health Counselor Jill Ansell 0060992 Clinical Mental Health Counselor (LPCC) Holly R. Anselmo 0138061 Licensed Mental Health Counselor Iris Anthony 0155431 Substance Abuse Associate Karen S. Anthony 0136881 Substance Abuse Associate Deidra A. Apodaca-Stewart 0063561 Licensed Mental Health Counselor Beverly A. Apodaca Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 195 sandlewood circle Durango CO 81301 La Plata Active 08/22/2007 09/30/2014 750 Lusdorf Rd. Apt. 108 Taos NM 87571 Taos Active 06/28/2010 09/30/2013 1333 La Poblana Road NW Albuquerque NM 87107 Bernalillo Active 05/10/2007 09/30/2014 4106 N. Dustin Ave. Farmington NM 87401 San Juan Active 12/19/2012 09/30/2014 #8 Alcalde Road Santa Fe NM 87508-8721 Santa Fe Active 03/03/2009 09/30/2013 110 E. Mescalero Roswell NM 88201 Chaves Active 10/06/2008 09/30/2013 210 Gonzales Road Santa Fe NM 87501 Santa Fe Active 01/31/2004 09/30/2013 P.O.Box 1845 Espanola NM 87532 Rio Arriba Active 03/02/2005 09/30/2013 261 A Rabbit Rd. Santa Fe NM 87508 Santa Fe Active 07/17/2012 09/30/2013 P.O. Box 1364 El Prado NM 87529 Taos Active 10/05/2012 09/30/2014 810 Morningside Pl. SE Albuquerque NM 87108 Bernalillo Active 01/31/2003 09/30/2013 P.O. Box 1756 Shiprock NM 87420 San Juan Active 02/17/2011 09/30/2014 4909 Casa del Oso NE Albuquerque NM 87111 Bernalillo Active 12/07/2012 09/30/2014 1801 Paseo De La Villa SE Rio Rancho NM 87124 Sandoval Active 12/20/2010 09/30/2014 7520 San Benito NW Albuquerque NM 87120 Bernalillo Active 06/30/2002 09/30/2013 Page 10 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0149901 Elizabeth M. Apodaca 0689 Temporary License Angelo D. Aquino 005981 Clinical Mental Health Counselor (LPCC) Helen Beth Aragon-Sterling 0069581 Professional Mental Health Counselor Magdalena Aragon 0399 Alcohol and Drug Counselor Marguerite A. Aragon 3632 Clinical Mental Health Counselor (LPCC) Rosi Aragon 4634 Alcohol and Drug Counselor Luz Angelica Araiza 0150431 Alcohol and Drug Counselor Stonya T. Arceneaux 0112131 Substance Abuse Associate Mary Melissa Archibeque 0138701 Licensed Mental Health Counselor Kimberly Payne Archie 0150671 Licensed Mental Health Counselor Carol A. Archuleta 3695 Substance Abuse Associate Larry S. Archuleta 2357 Alcohol and Drug Counselor Pari C. Archwarin 0147411 Professional Mental Health Counselor Angela M. Arellano 0154291 Temporary License Angela M. Arellano Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10916 Mahlon Ave. NE Albuquerque NM 87112 Bernalillo Active 05/11/2012 07/31/2013 7309 Freedom Court NE Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2013 1511 San Carlos Dr. SW Albuquerque NM 87104 Bernalillo Active 06/30/2001 09/30/2013 2028 Lucia Ave. SW Albuquerque NM 87105 Bernalillo Active 12/31/2003 09/30/2013 235 Armijo Road Belen NM 87002 Valencia Retired 06/30/1994 09/30/2009 P.O. Box 296 Pueblo of Acoma NM 87034 Valencia Active 01/31/1997 09/30/2014 1810 Meadow Lane Las Cruces NM 88007 Dona Ana Active 01/31/1999 09/30/2014 3901 N. Central Ave. Apt. D-107 Hobbs NM 88240 Lea Active 06/04/2012 09/30/2013 1247 Monte Verde Drive NE Albuquerque NM 87112 Bernalillo Active 03/20/2008 09/30/2014 4321 Camino Lila Santa Fe NM 87507 Santa Fe Active 03/18/2011 09/30/2014 722 Sagebrush Aztec NM 87410 San Juan Active 06/12/2012 09/30/2013 304 San Tomas S.W. Albuquerque NM 87121 Bernalillo Active 03/31/1997 09/30/2013 3905 Don January Ave. Clovis NM 88101 Curry Active 11/30/1994 09/30/2013 6508 Evesham Rd. NW Albuquerque NM 87120 Bernalillo Null and Void 02/24/2012 09/30/2012 6508 Evesham Rd. NW Albuquerque NM 87120 Bernalillo Active 10/19/2012 05/31/2013 Page 11 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0123541 Mary Alice Arellano 0072111 Licensed Mental Health Counselor Arlene Einwalter 0063671 CEU Provider Certificate Ellen Witter Armbruster 0152861 Professional Mental Health Counselor Ellen Witter Armbruster 1006 Temporary License Jonathan R. Armendariz 0110931 Clinical Mental Health Counselor (LPCC) Nadia Yvonne Armendariz 1897 Clinical Mental Health Counselor (LPCC) Cindy P. Armijo 0152811 Professional Mental Health Counselor Crystal M. Armijo 4476 Licensed Mental Health Counselor Beth A. Armstead 0154711 Clinical Mental Health Counselor (LPCC) Brian P. Arnold 0126891 Clinical Mental Health Counselor (LPCC) Joy Weston Arnold 0090501 Clinical Mental Health Counselor (LPCC) Luke Allen Arnold 5017 Marriage and Family Therapist Sylvia A. Aronson 2364 Alcohol and Drug Counselor Victor M. Arrey 3841 Registered Independent Counselor Victor M. Arrey Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 314 Springer NM 87747 Colfax Active 06/08/2009 09/30/2013 2506 Camino San Patricio Santa Fe NM 87505 Santa Fe Expired 04/01/2004 09/30/2009 1 Ladera Place Santa Fe NM 87508 Santa Fe Active 06/30/2002 09/30/2013 1 Ladera Place Santa Fe NM 87508 Santa Fe Active 08/29/2012 03/31/2013 1424 Hoffman Dr. NE Albuquerque NM 87110 Bernalillo Retired 07/31/1994 09/30/2012 887 Melville Ln. El Paso TX 79912 El Paso Active 01/30/2008 09/30/2013 503 Christine Drive Las Vegas NM 87701 San Miguel Active 08/30/1994 09/30/2013 1414 Chester Ln. SW Albuquerque NM 87105-3071 Bernalillo Active 08/29/2012 09/30/2013 P.O. Box 102 San Rafael NM 87051 Cibola Active 08/31/1999 09/30/2014 1415 Jefferson Pl., Apt. # 4 Hobbs NM 88240 Lea Active 11/08/2012 09/30/2014 1556 E. 7th Ave. Truth or Consequences NM 87901 Sierra Active 10/21/2009 09/30/2013 58 Santa Maria Dr. Edgewood NM 87015 Santa Fe Active 02/28/2006 09/30/2013 1301 Iowa Ave. Alamogordo NM 88310 Otero Active 06/30/1999 09/30/2013 380 Dolores NW Albuquerque NM 87105 Bernalillo Active 02/28/1995 09/30/2014 380 Dolores NW Albuquerque NM 87105 Bernalillo Active 01/31/1998 09/30/2013 Page 12 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0147251 Casey L. Arrillaga 0111051 Substance Abuse Associate Donella Thawindanger Arrow 0262 Licensed Mental Health Counselor Janet E. Arsenault 0074221 Clinical Mental Health Counselor (LPCC) Art Romero 0152991 CEU Provider Certificate Oscar Arteaga 4658 Temporary License Alice R. Arviso 0109321 Licensed Mental Health Counselor Chika Asai 0147391 Licensed Mental Health Counselor Chika Asai 0153651 Clinical Mental Health Counselor (LPCC) Stella C. Aschenbrenner 0118361 Licensed Mental Health Counselor Houda Baghdadi Asfahani 0142921 Licensed Mental Health Counselor Houda Baghdadi Asfahani 0103411 Temporary License Jayne Ann Ash 0155061 Licensed Mental Health Counselor Catherine C. Ashby 0091991 Clinical Mental Health Counselor (LPCC) Samantha Feldman Ashby 0426 Clinical Mental Health Counselor (LPCC) Scott E. Ashby Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 647 Questa NM 87556 Taos Active 02/15/2012 09/30/2013 P.O. BOX 5321 Santa Fe NM 87507 Santa Fe Active 02/06/2008 09/30/2014 1812 Paseo de La Conquistadora Santa Fe NM 87501 Santa Fe Active 06/30/1994 09/30/2014 2879 Cripple Creek Rd. Rio Rancho NM 87124 Sandoval Active 06/30/2004 09/30/2013 4664 Caples Circle El Paso TX 79903-1533 El Paso Active 08/30/2012 03/31/2013 P.O. Box 1055 Chinle AZ 86503 Apache Active 06/30/1998 09/30/2014 Active 11/19/2007 09/30/2013 Active 02/24/2012 09/30/2013 Bernalillo Active 09/25/2012 09/30/2014 5864 Via Cuesta El Paso TX 79912 El Paso Active 11/17/2008 09/30/2014 5864 Via Cuesta El Paso TX 79912 El Paso Active 09/08/2011 04/30/2012 88 Racetrack Arenas Valley NM 88022 Grant Active 05/03/2007 09/30/2014 2720 Painted Cave Road Santa Barbara CA 93105 Santa Barbara Active 11/27/2012 09/30/2014 637 Jefferson St. NE Albuquerque NM 87110 Bernalillo Active 04/06/2006 09/30/2013 PMB 113, 2311 Ranch Club Rd. Silver City NM 88061 Grant Active 06/30/1994 09/30/2014 3-1-47 Senrien Toyonaka, Osaka 560-0046 Japan 3-1-47 Senrien Toyonaka, Osaka 560-0046 Japan 4108 Ojos Negrow Dr. NW Albuquerque NM 87120 Page 13 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1671 Terry S. Ashcom 0065332 Clinical Mental Health Counselor (LPCC) Susy K. Ashcroft 0071091 Alcohol and Drug Counselor Susy K. Ashcroft 1898 Clinical Mental Health Counselor (LPCC) Pamela Ashley 3529 Clinical Mental Health Counselor (LPCC) Robert A. Ashworth 0102851 Alcohol and Drug Counselor Linda Eileen Aspenwind 0143971 Professional Mental Health Counselor Lidia B Atencio 0149661 Licensed Mental Health Counselor Lidia B Atencio 0153231 Temporary License Lidia B Atencio 0102521 Temporary License Lorenia Atencio 4313 Professional Mental Health Counselor Louie Carreras Atencio 0124071 Alcohol and Drug Counselor Louie Carreras Atencio 0070621 Clinical Mental Health Counselor (LPCC) Yolanda Atencio 1281 Alcohol and Drug Counselor Kass Atkinson 1779 Clinical Mental Health Counselor (LPCC) Kass Atkinson Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1838 Calle Los Vecinos NW Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2013 420 Cherokee Rd. N.W. Albuquerque NM 87107 Bernalillo Active 01/31/2003 09/30/2014 420 Cherokee Rd. N.W. Albuquerque NM 87107 Bernalillo Active 02/29/2004 09/30/2013 217 Claremont NE Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2014 1743 Russ Randall El Paso TX 79936 El Paso Active 01/31/1997 09/30/2013 227 Madison St. Waterbury CT 06706 New Haven Retired 04/16/2007 09/30/2012 7 Mira Sol Road Las Vegas NM 87701 San Miguel Active 10/06/2011 09/30/2013 7 Mira Sol Road Las Vegas NM 87701 San Miguel Null and Void 05/01/2012 12/31/2012 7 Mira Sol Road Las Vegas NM 87701 San Miguel Active 09/10/2012 04/30/2013 2255 W. Germann Rd. Apt.1080 Chandler AZ 85286 735 Homestead Circle Las Cruces NM 88011 Maricopa Active 04/09/2007 09/30/2014 Dona Ana Active 01/31/1998 09/30/2013 735 Homestead Circle Las Cruces NM 88011 Dona Ana Active 07/02/2009 09/30/2013 735 Homestead Circle Las Cruces NM 88011 Dona Ana Active 12/31/2003 09/30/2013 2829 Calle Princessa Juana Santa Fe NM 87507 Santa Fe Active 07/31/1994 09/30/2013 2829 Calle Princessa Juana Santa Fe NM 87507 Santa Fe Active 10/31/1994 09/30/2013 Page 14 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0128101 Mindy Elaine Atkinson 0065322 Licensed Mental Health Counselor Mary Louise Atwell 0798 Alcohol and Drug Counselor Stefani S. Atwood 1892 Clinical Mental Health Counselor (LPCC) Tamara M. Auger 0115961 Clinical Mental Health Counselor (LPCC) Audrey Sue Autrey 0098741 Clinical Mental Health Counselor (LPCC) Avron Kriechman, MD 0102651 CEU Provider Certificate Kyri E. Azar 0140861 Clinical Mental Health Counselor (LPCC) Marisabel Azcarate 3527 Clinical Mental Health Counselor (LPCC) John J. Azua 0145631 Alcohol and Drug Counselor Alexander I. Babani 0820 Clinical Mental Health Counselor (LPCC) Beverly A. Babik 0086901 Clinical Mental Health Counselor (LPCC) Adam V Baca 0151481 Clinical Mental Health Counselor (LPCC) Alheli Baca 0150761 Clinical Mental Health Counselor (LPCC) Anthony Peter Baca 005628 Clinical Mental Health Counselor (LPCC) Cecilia S. Baca Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2711 North Montana Roswell NM 88201 Chaves Active 12/16/2009 09/30/2013 P.O. Box 20143 Albuquerque NM 87154 Bernalillo Active 01/31/2003 09/30/2014 11930 Menaul Blvd. NE, #225A Albuquerque NM 87112 Bernalillo Active 06/30/1994 09/30/2014 1400 Carlisle Blvd NE, Ste. D Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 1701 Los Jardines PL, NW Albuquerque NM 87104-2353 Bernalillo Active 08/12/2008 09/30/2014 UNM Dept. of Psychiatry, CRCBH MSC 09 5030 / 1 University of NM Albuquerque NM 87131 9411 Northridge Ave. NE Albuquerque NM 87111 Bernalillo Active 11/30/2006 09/30/2013 Bernalillo Active 04/11/2007 09/30/2014 3241 Tierra Lucero El Paso TX 79938 El Paso Active 06/16/2011 09/30/2014 508 West Hill Street Gallup NM 87301 McKinley Active 04/30/1997 09/30/2013 222 Bartlett Drive #605 El Paso TX 79912 El Paso Active 12/20/2011 09/30/2013 30 Tierra Grande Loop Belen NM 87002 Valencia Expired 06/30/1994 09/30/2008 P.O. Box 4421 Espanola NM 87533 Rio Arriba Active 10/04/2005 09/30/2014 3309 Rio Linda SW Albuquerque NM 87121 Bernalillo Active 07/10/2012 09/30/2013 2915 La Palomita Road NE Albuquerque NM 87111 Bernalillo Active 06/14/2012 09/30/2013 212 Cromwell SW Albuquerque NM 87102 Bernalillo Active 07/31/2001 09/30/2014 Page 15 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0135821 Cecilia S. Baca 0064141 Clinical Mental Health Counselor (LPCC) Charles F. Baca 0079311 Alcohol and Drug Counselor Diana Baca 0149351 Licensed Mental Health Counselor Edward A. Baca 005631 Clinical Mental Health Counselor (LPCC) Jeannette V. Baca 0074481 Professional Mental Health Counselor Juanita C. Baca 0147011 Professional Mental Health Counselor Louise Baca 0983 Temporary License Mary F. Baca 0148981 Clinical Mental Health Counselor (LPCC) Melanie D. Baca 0153171 Substance Abuse Associate Monique C. Baca 0149611 Licensed Mental Health Counselor Theresa C. Baca 1673 Licensed Mental Health Counselor John F. Bach 0121441 Clinical Mental Health Counselor (LPCC) Sheena Bachelor-Evridge 0141331 Clinical Mental Health Counselor (LPCC) Elsa L. Backstrom 0154421 Licensed Mental Health Counselor Elsa L. Backstrom Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 212 Cromwell SW Albuquerque NM 87102 Bernalillo Active 10/29/2010 09/30/2014 1132 El Capitan Loop Grants NM 87020 Cibola Active 08/31/2002 09/30/2013 525 Cortez St. Santa Fe NM 87501 Santa Fe Active 02/14/2005 09/30/2014 6901 Toratolla Ct. NW Albuquerque NM 87120 Bernalillo Active 04/19/2012 09/30/2013 4516 Tres Vistas Rd. NW Albuquerque NM 87120 Bernalillo Active 12/31/2000 09/30/2013 5103 Pastura Pl. NW Albuquerque NM 87107 Bernalillo Active 07/15/2004 09/30/2013 404 W. 27th Farmington NM 87401 San Juan Active 02/06/2012 09/30/2012 5212 Park Heights Rd. NW Albuquerque NM 87120 Bernalillo Active 06/30/1994 09/30/2013 PO Box 1349 Ranchos de Taos NM 87557 Taos Active 04/10/2012 09/30/2013 1930 Infield Rd. SW Albuquerque NM 87105 Bernalillo Active 09/07/2012 09/30/2013 95 Ramoncita Rd. Los Lunas NM 87031 Valencia Active 04/27/2012 09/30/2013 1195 Willow Trail Bosque Farms NM 87068 Valencia Active 07/31/1994 09/30/2013 608 Mesa Vista Ct. Rio Rancho NM 87124 Sandoval Active 03/12/2009 09/30/2013 517 Onate Pl Santa Fe NM 87501 Santa Fe Active 07/01/2011 09/30/2014 517 Onate Pl Santa Fe NM 87501 Santa Fe Active 10/25/2012 05/31/2013 Page 16 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0089451 Gayla S. Bacon 0152591 Professional Mental Health Counselor Deborah Q. Badua 0142981 Temporary License Lenore G. Baeli Wang 0115311 Clinical Mental Health Counselor (LPCC) Maria Inez Bagwell 0137251 Alcohol and Drug Counselor Holly E. Bahn 0144051 Licensed Mental Health Counselor Jennifer Bahrman 0630 Licensed Mental Health Counselor Janet M. Bailey 0130731 Marriage and Family Therapist Jillian R. Bailie 2199 Licensed Mental Health Counselor Julia Bain 0145991 Clinical Mental Health Counselor (LPCC) Duane A. Baker 2655 Substance Abuse Associate John C. Baker 0091541 Clinical Mental Health Counselor (LPCC) Kelly Ann Baker 0123191 Marriage and Family Therapist Carlos Andres Baki 0153741 Licensed Mental Health Counselor Yolanda Balay 0087881 Temporary License Maria R. Balbuena Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 8456 Santa Fe NM 87504 Santa Fe Active 01/25/2006 09/30/2013 PO Box #4 Zuni NM 87327 McKinley Active 08/22/2012 07/31/2013 306 Richmond Drive SE Albuquerque NM 87106 Bernalillo Active 09/09/2011 09/30/2014 1809 Miracerros Ln. Alamogordo NM 88310 Otero Active 07/16/2008 09/30/2014 P.O. Box 1126 Corrales NM 87048 Sandoval Active 01/07/2011 09/30/2014 3901 Sonoma Springs Ave. #1104 Las Cruces NM 88011 Dona Ana Active 10/12/2011 09/30/2013 2074 Galisteo Street, Ste. A-1 Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2014 8719 Prairie Clover Pl SE Albuquerque NM 87116 Bernalillo Active 03/26/2010 09/30/2013 PO Box 470 Albuquerque NM 87103 Bernalillo Active 11/30/1994 09/30/2013 3054 N. Chaparral Dr. Socorro NM 87801 Socorro Active 01/04/2012 09/30/2013 1105 Los Padres St. SE Albuquerque NM 87123 Bernalillo Active 09/30/1994 09/30/2013 6992 Skylar Dr. NE. Rio Rancho NM 87144 Sandoval Active 03/23/2006 09/30/2013 P.O. Box 87 Crownpoint NM 87313 McKinley Active 05/28/2009 09/30/2013 1851 Dolph Quijano El Paso TX 79936 El Paso Active 09/26/2012 04/30/2013 101 Largo Place Belen NM 87002 Valencia Active 11/17/2005 09/30/2013 Page 17 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4745 John P. Baldonado 0088201 Alcohol and Drug Counselor James F. Baldwin 0081131 Clinical Mental Health Counselor (LPCC) Dorothy J. Bales 1131 Licensed Mental Health Counselor Susan R. Balkman 3626 Professional Mental Health Counselor Susan R. Balkman 0145691 Alcohol and Drug Counselor Charles F. Ball 0107631 Clinical Mental Health Counselor (LPCC) Jonathan H Ball 0119781 Licensed Mental Health Counselor Eric Matthew Banagay 4357 Alcohol and Drug Counselor Michael Banegas 2379 Alcohol and Drug Counselor Gregory A. Banka 0542 Professional Mental Health Counselor Shanti E. Bannwart 1462 Clinical Mental Health Counselor (LPCC) Franchesca Banuelos 0153791 Clinical Mental Health Counselor (LPCC) Jose Banuelos 0427 Temporary License David A. Baptiste 0154561 Marriage and Family Therapist Barbara Tonn CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2500 Aspen Dr. Alamogordo NM 88310 Otero Active 06/30/1999 09/30/2013 2074 Galisteo St. Suite A-1 Santa Fe NM 87505 Santa Fe Retired 12/08/2005 09/30/2008 834 Highland Drive Las Vegas NM 87701 San Miguel Active 04/19/2005 09/30/2014 15 Enmedio Place Santa Fe NM 87508 Santa Fe Active 07/31/1994 09/30/2013 15 Enmedio Place Santa Fe NM 87508 Santa Fe Active 03/31/1997 09/30/2014 2600 West Zia Rd. H-6 Santa Fe NM 87505 Santa Fe Active 12/21/2011 09/30/2013 672 Stagecoach Road Rio Rancho NM 87124 Sandoval Retired 09/26/2007 09/30/2009 2705 Hammond Blvd. Clovis NM 88101 Curry Active 01/21/2009 09/30/2013 12391 Paseo Valle Lane El Paso TX 79928 El Paso Active 09/30/1998 09/30/2007 5535 Edie Ct. NW Albuquerque NM 87114 Bernalillo Active 07/31/1994 09/30/2013 200 Ojo De La Vaca Road Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 1808 Newton Place NE Albuquerque NM 87106 Bernalillo Active 08/30/1994 09/30/2014 118 West 6th Street Leadville CO 80461 Lake Active 09/27/2012 04/30/2013 2709 Sim Avenue Las Cruces NM 88005 Dona Ana Active 06/30/1994 09/30/2013 PO Box 906 Westcliffe CO 81252 Custer Active 10/29/2012 09/30/2013 Page 18 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0106651 Andrew V. Barber 2193 Clinical Mental Health Counselor (LPCC) James P. Barber 0099791 Clinical Mental Health Counselor (LPCC) Jeff D. Barboa 0141961 Alcohol and Drug Counselor Lindsey M. Barela-Scott 2068 Licensed Mental Health Counselor Iona L. Barela 0122891 Professional Mental Health Counselor Dianne Renee Barnes 0128721 Licensed Mental Health Counselor Dianne Renee Barnes 0153061 Licensed Mental Health Counselor Dianne Renee Barnes 0089491 Art Therapist Karen H. Barnes 0129181 Substance Abuse Associate Karen H. Barnes 3440 Clinical Mental Health Counselor (LPCC) Robert W. Barnes 3984 Alcohol and Drug Counselor Shea Barnes 0094711 Alcohol and Drug Counselor Kari Adene Barnett 0115611 Marriage and Family Therapist Sue Barnum 0080891 Clinical Mental Health Counselor (LPCC) Claire A. Barr Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7121 Tierra Alta El Paso TX 79912 El Paso Active 08/15/2007 09/30/2014 83 Feather Rd. Santa Fe NM 87506 Santa Fe Active 09/30/1994 09/30/2013 203 W 10th St., Apt. A Silver City NM 88061 Grant Retired 01/09/2007 09/30/2008 5935 Andromeda Ave. NE Albuquerque NM 87114 Bernalillo Active 07/29/2011 09/30/2014 5227 La Bajada Road NW Albuquerque NM 87105 Bernalillo Active 07/31/1994 09/30/2014 P.O. Box 22005 Albuquerque NM 87154 Bernalillo Active 05/14/2009 09/30/2013 P.O. Box 22005 Albuquerque NM 87154 Bernalillo Active 01/11/2010 09/30/2013 P.O. Box 22005 Albuquerque NM 87154 Bernalillo Active 08/31/2012 09/30/2013 2720 Tabor Drive Silver City NM 88061 Grant Active 01/30/2006 09/30/2013 2720 Tabor Drive Silver City NM 88061 Grant Active 01/27/2010 09/30/2013 201 Eubank Blvd NE, Ste. A1 SUITE A1 Albuquerque NM 87123 3811 1/2 Cerrillos Rd #31 Santa Fe NM 87507 4108 Capistrano Avenue Las Cruces NM 88011 Bernalillo Active 01/31/1997 09/30/2014 Santa Fe Active 03/31/1997 09/30/2014 Dona Ana Active 07/28/2006 09/30/2013 P.O. Box 633 Tesuque NM 87574 Santa Fe Active 07/29/2008 09/30/2014 973 Camino Hermosa Corrales NM 87048 Sandoval Active 04/07/2005 09/30/2014 Page 19 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0074491 Jessica Barraza 0084331 Clinical Mental Health Counselor (LPCC) Jessica M. Barreras 0149911 Professional Mental Health Counselor Esmeralda E. Barrios 0153831 Temporary License Barry Krakow 0120681 CEU Provider Certificate Terry Lee Barsano 0137751 Clinical Mental Health Counselor (LPCC) Marianne D. Bartlett 0111981 Clinical Mental Health Counselor (LPCC) Nancy A. Bartley 1323 Clinical Mental Health Counselor (LPCC) Ruth E. Barton 0135731 Clinical Mental Health Counselor (LPCC) Kristine Lee Bartyzel 0076881 Clinical Mental Health Counselor (LPCC) Jesica L. Basha 0147651 Substance Abuse Associate Timothy W. Basha 0109391 Alcohol and Drug Counselor Kathleen C. Basler 0111061 Marriage and Family Therapist Laura B. Bassett 0155381 Licensed Mental Health Counselor Patricia Jean Bastani 2498 Temporary License Brendalyn Batchelor Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1737 Foster Las Cruces NM 88001 Dona Ana Active 07/15/2004 09/30/2013 416 Soothing Meadows Dr. NE Rio Rancho NM 87144 Sandoval Active 07/21/2005 09/30/2014 4710 Titanic Ave. El Paso TX 79904 El Paso Active 05/11/2012 12/31/2012 6739 Academy NE #380 Albuquerque NM 87109 Bernalillo Active 10/02/2012 09/30/2013 P.O. Box 590 Arroyo Hondo NM 87513 Taos Active 02/19/2009 09/30/2014 2205 Casa Loma Road. Silver City NM 88061 Grant Active 02/01/2011 09/30/2014 710 Carper Drive Artesia NM 88210 Eddy Active 03/13/2008 09/30/2014 P.O. Box 1146 Los Lunas NM 87031 Valencia Active 06/30/1994 09/30/2013 941 Calle Mejia, #1112 Santa Fe NM 87501 Santa Fe Active 10/22/2010 09/30/2014 4608 Michigan Avenue Roswell NM 88201 Chaves Expired 10/26/2004 09/30/2009 PO Box 1088 Alamogordo NM 88311 Otero Active 03/01/2012 09/30/2013 716 El Prado Las Cruces NM 88005 Dona Ana Active 11/29/2007 09/30/2013 2276 Calle Cuesta Santa Fe NM 87505 Santa Fe Active 02/06/2008 09/30/2014 1300 W. 7th Ave. #21 Anchorage AK 99501 Anchorage Active 12/06/2012 07/31/2013 605 Ridge Pointe Lane Santa Fe NM 87506 Santa Fe Active 10/31/1994 09/30/2014 Page 20 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy General Address County License Status Issue Date Expiration Date 5421 Gates Dr. The Colony TX 75056 Denton Active 08/25/2011 10/25/2011 #12 Road 3191 Aztec NM 87410 San Juan Active 07/11/2008 09/30/2014 P.O. Box 2217 El Prado NM 87529 Taos Active 07/15/2005 09/30/2014 2325 Delfino Dr. Rio Rancho NM 87124 Sandoval Active 10/21/2010 09/30/2014 6708 Dodd Pl. Albuquerque NM 87110 Bernalillo Active 02/14/2008 09/30/2014 8505 Capulin Road NE Albuquerque NM 87109 Bernalillo Active 07/31/1994 09/30/2013 1701 Los Osos Valley Road #45 Los Osos CA 93402 San Luis Obispo Retired 06/30/1997 09/30/2012 P.O. Box 90591 Albuquerque NM 87199 Bernalillo Active 09/30/1994 09/30/2013 85 Lagarto Rd. Tijeras NM 87059 Bernalillo Active 12/31/1998 09/30/2014 1043 Highway 313 Sandoval Active Bernalillo NM 87004 601 West San Mateo Road, #123 Santa Fe NM 87505 01/31/1997 09/30/2014 Santa Fe Active 02/11/2011 09/30/2014 2900 Marcella Circle Gallup NM 87301 McKinley Active 08/21/2009 09/30/2013 P.O. Box 1782 Crownpoint NM 87313 McKinley Active 02/11/2009 09/30/2013 P.O. Box 366 Church Rock NM 87311 McKinley Active 05/22/2008 09/30/2014 12128 Calle Zagal NE Albuquerque NM 87111 Bernalillo Active 06/30/2001 09/30/2014 License No. Licensee Name License Type 0142741 Clifford W. Bates 0115071 Temporary License Diana L. Bauer 0084121 Alcohol and Drug Counselor Jamie L. Bauer 0135611 Professional Mental Health Counselor Sheryl A. Bauer 0111401 Licensed Mental Health Counselor Richard Scott Bean 2383 Licensed Mental Health Counselor David C. Bear 3022 Clinical Mental Health Counselor (LPCC) Elizabeth A. Bear 1465 Marriage and Family Therapist Judith A. Beard 4016 Clinical Mental Health Counselor (LPCC) Charlotte A. Beaty 3502 Clinical Mental Health Counselor (LPCC) Don I. Beaucage 0137901 Alcohol and Drug Counselor Ann E. Beauchamp 0125481 Licensed Mental Health Counselor Herlanda Becenti 0120441 Alcohol and Drug Counselor Jennifer L. Becenti 0113951 Alcohol and Drug Counselor Joann D. Becenti 005982 Substance Abuse Associate Robert K. Becher Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 Page 21 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0152201 Christine A. Beck 0145641 Clinical Mental Health Counselor (LPCC) Christine A. Beck 0090721 Art Therapist Frances D. Beck 006092 Clinical Mental Health Counselor (LPCC) Elizabeth Hetland Becker 0155351 Alcohol and Drug Counselor Ericka S. Becker 0098581 Temporary License Gloria Jean Becker 005906 Substance Abuse Associate Danelle Lynn Becklund 0150251 Clinical Mental Health Counselor (LPCC) Sonja D. Bedinger 0103951 Substance Abuse Associate Spencer B. Bedwell 006077 Alcohol and Drug Counselor James F. Beecher, Jr. 2948 Clinical Mental Health Counselor (LPCC) Judith Beers MacDonald 0064401 Clinical Mental Health Counselor (LPCC) James A. Begay 0076251 Substance Abuse Associate Carol Ann Beggs-Fields 0155511 Professional Mental Health Counselor Behavior Therapist Association, PA 0067162 CEU Provider Certificate Debbie A. Behnfield Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1844 Gretta St. NE Albuquerque NM 87112 Bernalillo Active 08/15/2012 09/30/2013 1844 Gretta St. NE Albuquerque NM 87112 Bernalillo Active 12/20/2011 09/30/2013 2313 19th Street Alamogordo NM 88310 Otero Active 03/08/2006 09/30/2013 20 Dove Lane Beckley WV 25801 Raleigh Active 01/31/2003 09/30/2013 2296 B 36th. St. Los Alamos NM 87544 Los Alamos Active 12/06/2012 07/31/2013 4617 Sunshine Place SW Albuquerque NM 87105 Bernalillo Expired 11/29/2006 09/30/2009 801 Adams Place SE Albuquerque NM 87108 Bernalillo Active 09/30/2001 09/30/2014 PO Box 1951 Carlsbad NM 88221 Eddy Active 05/29/2012 09/30/2013 8216 Bart Ave. NE Albuquerque NM 87109 Bernalillo Active 05/21/2007 09/30/2014 714 Amherst Dr. SE Albuquerque NM 87106 Bernalillo Active 02/28/2002 09/30/2013 P.O. Box 3411 Farmington NM 87499-3411 San Juan Active 01/30/1995 09/30/2014 P.O. Box 1275 Shiprock NM 87420 San Juan Active 10/31/2002 09/30/2013 12400 View Court NE Albuquerque NM 87112 Bernalillo Active 09/28/2004 09/30/2013 4004 Carlisle Blvd. NE Ste. A2 Albuquerque NM 87107 Bernalillo Active 12/07/2012 09/30/2013 1407 Cornell Dr. NE Albuquerque NM 87106 Bernalillo Active 06/30/2003 09/30/2014 Page 22 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0822 Joan M. Belian-Dieschbourg 1007 Clinical Mental Health Counselor (LPCC) Gail A. Bell 2198 Art Therapist Gail A. Bell 3496 Clinical Mental Health Counselor (LPCC) Gail A. Bell 0088431 Alcohol and Drug Counselor Howard Bruce Bell 0114711 Professional Mental Health Counselor Karina Nicole Bell 0071601 Licensed Mental Health Counselor Katherine S. Bell 0067582 Marriage and Family Therapist Pamela J. Bell 0867 Clinical Mental Health Counselor (LPCC) Robert B. Bell 3585 Clinical Mental Health Counselor (LPCC) Robert B. Bell 0142541 Alcohol and Drug Counselor Maria Ann Belone 3794 Substance Abuse Associate Carlos M. Beltran 0120641 Alcohol and Drug Counselor Yesenia Sarai Beltran 0125241 Licensed Mental Health Counselor Karen E. Bemis 0111941 Licensed Mental Health Counselor M. Carolyn Bemis Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 708 Adams NE Albuquerque NM 87110 Bernalillo Retired 08/30/1994 09/30/2012 400 Laguayra NE Albuquerque NM 87108 Bernalillo Active 07/31/1994 09/30/2013 400 Laguayra NE Albuquerque NM 87108 Bernalillo Active 07/31/1994 09/30/2014 400 Laguayra NE Albuquerque NM 87108 Bernalillo Active 03/31/1997 09/30/2014 3732 Mt. Rainer Dr. NE Albuquerque NM 87111 Bernalillo Active 12/13/2005 09/30/2014 6312 Elk Horn Dr. NE Albuquerque NM 87111 Bernalillo Active 06/24/2008 09/30/2014 125 E. Palace Ste. 41 Santa Fe NM 87501 Santa Fe Active 02/29/2004 09/30/2013 30 Alcalde Rd. Santa Fe NM 87508 Santa Fe Active 08/31/2003 09/30/2014 1620 Hollyberry Drive NE Rio Rancho NM 87144 Sandoval Active 06/30/1994 09/30/2013 1620 Hollyberry Drive NE Rio Rancho NM 87144 Sandoval Active 01/31/1997 09/30/2013 PO Box 866 Fruitland NM 87416 San Juan Active 08/18/2011 09/30/2014 1606 West 1st Tularosa NM 88352 Otero Active 07/31/1997 09/30/2014 2738 Santa Cruz Avenue SE Albuquerque NM 87106 Bernalillo Active 02/19/2009 09/30/2014 725 Hydra Rd. SE Rio Rancho NM 87124 Sandoval Active 08/14/2009 09/30/2013 1606 Ridgecrest Dr. SE Albuquerque NM 87108 Bernalillo Active 03/12/2008 09/30/2014 Page 23 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3854 Alfred B. Benalli 005705 Alcohol and Drug Counselor Debra Ann Benalli 0083581 Alcohol and Drug Counselor Debra Ann Benalli 0125161 Clinical Mental Health Counselor (LPCC) Darryl Harrison Benally 3814 Clinical Mental Health Counselor (LPCC) Mary E. Benally 0153491 Alcohol and Drug Counselor Renee B. Benavidez 0112001 Temporary License Rolando Justin Benavidez 0109251 Licensed Mental Health Counselor Melinda Joyce Bender 3377 Licensed Mental Health Counselor Thomas S. Bender 0080461 Clinical Mental Health Counselor (LPCC) Kathleen Louise Benecke 0118581 Clinical Mental Health Counselor (LPCC) Cheryl E. Benedetto 0061632 Clinical Mental Health Counselor (LPCC) Susan Harris Benjamin 0133571 Art Therapist Edward W Bennett 0088061 Licensed Mental Health Counselor Kelly R. Bennett 0133331 Clinical Mental Health Counselor (LPCC) Linda K. Bennett Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 028 Zanzibar Ct. Jemez Springs NM 87025 Sandoval Active 01/31/1997 09/30/2014 28 Zanzibar Court Jemez Springs NM 87025 Sandoval Active 01/31/2001 09/30/2013 28 Zanzibar Court Jemez Springs NM 87025 Sandoval Active 07/05/2005 09/30/2014 1040 Patton Dr. Gallup NM 87301 McKinley Active 08/07/2009 09/30/2013 P.O. Box 102 Waterflow NM 87421 San Juan Active 03/31/1997 09/30/2014 2328 N. Gonzales St. Las Vegas NM 87701 San Miguel Active 09/18/2012 04/30/2013 9300 Yvonne Marie Dr. NW Albuquerque NM 87114 Bernalillo Active 03/14/2008 09/30/2014 1705 Kirby St NE Albuquerque NM 87112 Bernalillo Active 11/19/2007 09/30/2013 1400 Villa Candela NE Albuquerque NM 87113 Bernalillo Active 12/31/1999 09/30/2013 2891 Plaza Blanca Santa Fe NM 87507 Santa Fe Active 03/25/2005 09/30/2014 PO Box 15984. Rio Rancho NM 87174 Sandoval Active 12/01/2008 09/30/2014 234 1/2 Ambrosio Street Santa Fe NM 87501 Santa Fe Active 01/31/2003 09/30/2014 HCR 72 BOX 241 Ribera NM 87560 San Miguel Active 07/19/2010 09/30/2013 578 Via Arista Santa Fe NM 87506 Santa Fe Active 11/29/2005 09/30/2014 5179 Picuris Ct. Las Cruces NM 88011 Dona Ana Active 07/07/2010 09/30/2013 Page 24 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0894 Mary Rose Bennett 0144931 Clinical Mental Health Counselor (LPCC) J. Kimbrough Benson 0145591 Marriage and Family Therapist Michael P. Benson 0153881 Licensed Mental Health Counselor Michael P. Benson 0823 Substance Abuse Associate Marilyn S. Bentley 0154981 Marriage and Family Therapist Terri S. Benton 0868 Clinical Mental Health Counselor (LPCC) Beverly J. Bentzen-Davies 2814 Clinical Mental Health Counselor (LPCC) Beverly J. Bentzen-Davies 0517 Marriage and Family Therapist Daniel A. Benuska 1583 Professional Mental Health Counselor Esther E. Benvenisti 0134661 Marriage and Family Therapist Jean M. Benzine 0107131 Licensed Mental Health Counselor Francis Lee Bercher 4389 Substance Abuse Associate Jean L. Bergeron 0146251 Licensed Mental Health Counselor Sara J. Bergert 0153001 Temporary License Sara J. Bergert Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 13301 Manitoba Dr. NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2014 950 Canyon Rd. #A Santa Fe NM 87501 Santa Fe Active 11/16/2011 09/30/2013 PO Box 2891 Espanola NM 87532 Rio Arriba Active 12/16/2011 09/30/2014 PO Box 2891 Espanola NM 87532 Rio Arriba Active 10/02/2012 09/30/2014 PO Box 68 Beaverton OR 97075 Washington Active 09/30/1994 09/30/2013 172 Main St. Acton MA 01720 Middlesex Active 11/20/2012 09/30/2014 2135 Matthew Ave. NW Albuquerque NM 87104 Bernalillo Active 06/30/1994 09/30/2014 2135 Matthew Ave. NW Albuquerque NM 87104 Bernalillo Active 04/30/1995 09/30/2014 6726 Cresta Bonita El Paso TX 79912 El Paso Active 05/31/1994 09/30/2013 11 Monticello Drive Albuquerque NM 87123 Bernalillo Active 01/26/1995 09/30/2013 2108 N Pope Street Silver City NM 88061 Grant Active 08/30/2010 09/30/2013 10800 Clyburn Park Drive NE Albuquerque NM 87123 Bernalillo Retired 09/06/2007 09/30/2012 823 Allendale Santa Fe NM 87505 Santa Fe Active 01/31/1998 09/30/2013 PO Box 196 Tijeras NM 87059 Bernalillo Null and Void 01/13/2012 08/31/2012 PO Box 196 Tijeras NM 87059 Bernalillo Active 08/30/2012 03/31/2013 Page 25 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3163 Britt Marie Berglind 0354 Clinical Mental Health Counselor (LPCC) Diane Berman 1903 Marriage and Family Therapist Joan R. Saks Berman, Ph.D 0070651 Clinical Mental Health Counselor (LPCC) Robin L. Berman 1542 Marriage and Family Therapist Rebecca L. Bermudez 0135861 Registered Independent Counselor Bernadette Pina 0109271 CEU Provider Certificate Cynthia C. Bernal 0095881 Substance Abuse Associate Betty Jean Bernard 0135751 Licensed Mental Health Counselor Suzanne L. Bernardi 0147731 Licensed Mental Health Counselor Bernardo Monserrat 0077121 CEU Provider Certificate Randall S. Berner 0138521 Clinical Mental Health Counselor (LPCC) Scott Thomas Bernhardt 0631 Alcohol and Drug Counselor Jerome S. Bernstein 0118 Clinical Mental Health Counselor (LPCC) Sister Maria Sofia Berrones 0139 Clinical Mental Health Counselor (LPCC) Sister Maria Sofia Berrones Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 90 Edgewater Drive Coral Gables FL 33133 Miami-Dade Active 04/30/1997 09/30/2013 92 A Old San Marcos Trail Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 725 Hermosa Dr. NE Albuquerque NM 87110 Bernalillo Active 01/31/1995 09/30/2013 5116 Grande Dr NW Albuquerque NM 87107 Bernalillo Active 02/29/2004 09/30/2013 128 Grant Ave., #221 Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2014 100 W. Griggs Las Cruces NM 88005 Dona Ana Active 11/01/2010 09/30/2013 4005 Thaxton SE Albuquerque NM 87108 Bernalillo Expired 11/19/2007 09/30/2009 25 Lynwood Drive SE Rio Rancho NM 87124 Sandoval Active 08/24/2006 09/30/2013 305 S. Sandburg Drive Deming NM 88030 Luna Active 10/25/2010 09/30/2014 Active 03/02/2012 09/30/2013 37 Herrada Rd. Santa Fe NM 87508 P.O. Box 3862 Albuquerque NM 87190 Bernalillo Active 11/02/2004 09/30/2013 7323 Niquel Pl. NW Albuquerque NM 87120 Bernalillo Active 03/11/2011 09/30/2014 908 Old Santa Fe Trail Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 1344 Fruitdale Ave, #E-8 San Jose CA 95126 Santa Clara Expired 06/30/1994 09/30/2002 1344 Fruitdale Ave, #E-8 San Jose CA 95126 Santa Clara Expired 06/30/1994 09/30/2003 Page 26 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0148821 Deborah G. Berry 0150441 Licensed Mental Health Counselor John A. Berry 0084641 Licensed Mental Health Counselor Kevin Bryson Berry 0144231 Marriage and Family Therapist Jeanne Bertoli 0138711 Marriage and Family Therapist Teresa Ann Bertoncin 0148351 Clinical Mental Health Counselor (LPCC) Teresa Ann Bertoncin 0972 Marriage and Family Therapist Courtney Best-Trujillo 0113371 Clinical Mental Health Counselor (LPCC) Daniel E. Best 0113221 Marriage and Family Therapist Daniel E. Best 0145981 Clinical Mental Health Counselor (LPCC) Jenny Betancis 0154931 Licensed Mental Health Counselor Rose Linda Betancourt-Ahern 0065522 Licensed Mental Health Counselor Beth Gineris - Center for Instinctive Health Medicine,llc CEU Provider Certificate Arnold Betoney 0114761 Alcohol and Drug Counselor Bette B. Betts 0067462 CEU Provider Certificate Brett W. Beutel 0119211 Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 523 Tyrone NM 88065 Grant Active 04/04/2012 09/30/2013 PO Box 451 Hurley NM 88043 Grant Active 06/04/2012 09/30/2013 505 Park Dr. Roswell NM 88201 Chaves Active 08/03/2005 09/30/2014 1533 Corte la Canada Santa Fe NM 87501 Santa Fe Active 10/17/2011 09/30/2013 P.O. Box 610 Arroyo Seco NM 87514 Taos Active 03/18/2011 09/30/2014 P.O. Box 610 Arroyo Seco NM 87514 Taos Active 03/26/2012 09/30/2013 28 Balsa Road Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 P.O. Box 395 Cleveland NM 87715 Mora Active 05/07/2008 09/30/2014 P.O. Box 395 Cleveland NM 87715 Mora Active 04/30/2008 09/30/2014 11705 Lapstone Way El Paso TX 79934 El Paso Active 01/04/2012 09/30/2013 3111 45th St. Lubbock TX 79413 Lubbock Active 11/16/2012 09/30/2014 7520 Montgomery Blvd. NE, Suite D12 Albuquerque NM 87109 Bernalillo Active 01/06/2009 09/30/2013 7620 Kentwood Ave. NW Albuquerque NM 87114 Bernalillo Active 01/31/2003 09/30/2014 1920 Tijeras Road Santa Fe NM 87505 Santa Fe Active 06/27/2008 09/30/2013 100 Fire Station Rd. Los Lunas NM 87031 Valencia Active 08/31/2003 09/30/2014 Page 27 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0116641 Mikahla K. Beutler 0074101 Clinical Mental Health Counselor (LPCC) Pamela L. Beverage 0111681 Clinical Mental Health Counselor (LPCC) Mary George Beyer 2373 Clinical Mental Health Counselor (LPCC) Ann M. Beyke 0146771 Professional Mental Health Counselor Bianca A. McDermeh, Ph.D. 0067282 CEU Provider Certificate Tamara S. Bibo 1283 Professional Mental Health Counselor Carol J. Bickelman 0075671 Clinical Mental Health Counselor (LPCC) Susan M. Bienvenu 0488 Professional Mental Health Counselor Judy A. Bierbaum 1009 Clinical Mental Health Counselor (LPCC) Robert E. Bierer 0138781 Marriage and Family Therapist Natalie G. Bieser Collison 2660 Licensed Mental Health Counselor Lillian Biffle 0138801 Professional Mental Health Counselor Loretta Bifulco 1195 Clinical Mental Health Counselor (LPCC) Cecilia Biglieri 0096691 Professional Mental Health Counselor Rebecca Ruth Bilbe Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 727 Tesuque NM 87574 Santa Fe Active 09/09/2008 09/30/2014 1711 Coulter Street NE Rio Rancho NM 87144 Sandoval Active 06/21/2004 09/30/2013 2716 54th Street Lubbock TX 79413 Lubbock Retired 02/26/2008 09/30/2012 4721 Southern Ave. SE Albuquerque NM 87108 Bernalillo Active 09/30/1994 09/30/2013 10 Duende Rd. Santa Fe NM 87508 Santa Fe Active 01/26/2012 09/30/2013 P.O. Box 2170 Tijeras NM 87059 Bernalillo Active 07/31/2003 09/30/2014 2700 Campbell Rd. NW Albuquerque NM 87104 Bernalillo Active 06/30/1994 09/30/2013 534 Juniper Drive Santa Fe NM 87501 Santa Fe Active 09/14/2004 09/30/2013 1120 Summit Drive NE Albuquerque NM 87106 Bernalillo Active 06/30/1994 09/30/2014 8655 Rio Grande Blvd. NW Albuquerque NM 87114 Bernalillo Active 09/30/1994 09/30/2013 3704 Valmora Road Santa Fe NM 87505 Santa Fe Active 03/22/2011 09/30/2014 401 Laguna SW Albuquerque NM 87104 Bernalillo Active 07/31/1994 09/30/2013 4129 Monte Azul Loop Santa Fe NM 87507 Santa Fe Active 03/23/2011 09/30/2014 324 Adams SE Albuquerque NM 87108 Bernalillo Active 12/31/1994 09/30/2013 200 La Mirada Circle El Paso TX 79932 El Paso Active 09/20/2006 09/30/2013 Page 28 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0097271 Holly P. Billings-Arafat 0131151 Professional Mental Health Counselor Dixie Bingham 1388 Alcohol and Drug Counselor Karla Whetstone Binkley 3711 Clinical Mental Health Counselor (LPCC) Karla Whetstone Binkley 1909 Alcohol and Drug Counselor Stephen J. Binkley 0121241 Clinical Mental Health Counselor (LPCC) John T. Bintz 0107471 Clinical Mental Health Counselor (LPCC) Barbara A. Birdsong 0141441 Clinical Mental Health Counselor (LPCC) Kristin B Birkenes 0153631 Substance Abuse Associate Janet T. Birkey 0091021 Licensed Mental Health Counselor Michael E. Bischoff 0136621 Clinical Mental Health Counselor (LPCC) Hillary Ayn Bish 0080271 Licensed Mental Health Counselor John A. Bish 0063431 Professional Mental Health Counselor Stacy Bishop 0149851 Professional Mental Health Counselor Elizabeth Ann Black 0142951 Clinical Mental Health Counselor (LPCC) Adrienne L. Blackburn Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 403 Sunglow Avenue Alamogordo NM 88310 Otero Active 10/11/2006 09/30/2013 9209 Petronas Ave SW Albuquerque NM 87121 Bernalillo Active 04/08/2010 09/30/2013 P.O. Box 2460 Los Lunas NM 87031 Valencia Active 06/30/1994 09/30/2014 P.O. Box 2460 Los Lunas NM 87031 Valencia Active 01/31/1997 09/30/2013 P.O. Box 2460 Los Lunas NM 87031 Valencia Active 07/31/1994 09/30/2013 #76 County Rd. 5151 Bloomfield NM 87413 San Juan Active 03/06/2009 09/30/2014 102 Pamela Lane Ruidoso NM 88345 Lincoln Active 09/18/2007 09/30/2014 6101 Imperata St. NE, #1925 Albuquerque NM 87111 Bernalillo Active 07/11/2011 09/30/2014 1600 Layton Ct. Clovis NM 88101 Curry Active 09/25/2012 09/30/2013 P.O. Box 8888 Albuquerque NM 87198 Bernalillo Active 03/14/2006 09/30/2013 712 1/2 Madison Street NE Albuquerque NM 87110 Bernalillo Active 12/01/2010 09/30/2014 2421 Jessie Lee Ln. Las Vegas NM 87701 San Miguel Retired 03/21/2005 09/30/2012 1002 A Calle Largo Santa Fe NM 87501 Santa Fe Expired 04/30/2002 09/30/2009 1619 Winton Ct. Las Cruces NM 88007 Dona Ana Active 05/08/2012 09/30/2013 1725 N. Chama Drive Hobbs NM 88240 Lea Null and Void 09/09/2011 11/30/2012 Page 29 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0098651 Shawne Ann Blackburn 0149481 Licensed Mental Health Counselor Shawne Ann Blackburn 1468 Clinical Mental Health Counselor (LPCC) Susan Star Marie Blacker 0122361 Clinical Mental Health Counselor (LPCC) Elouise M. Blackgoat 0080161 Alcohol and Drug Counselor Mary Sue Blackhurst 0562 Clinical Mental Health Counselor (LPCC) Daniel K. Blackwood 2380 Clinical Mental Health Counselor (LPCC) Phyllis A. Blair 0135631 Clinical Mental Health Counselor (LPCC) Sean D. Blair 0088631 Substance Abuse Associate Judith Ann Blaise 4423 Professional Mental Health Counselor Bruce David Blanchard 005621 Clinical Mental Health Counselor (LPCC) Kandace Sue Blanchard 2952 Clinical Mental Health Counselor (LPCC) Mary Bergan Blanchard 0152161 Professional Mental Health Counselor Rayna Blanco 0148371 Temporary License Tracy Ann Bland 1905 Substance Abuse Associate Shoshona D. Blankman Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 6604 Beau Chene NE Albuquerque NM 87111 Bernalillo Active 11/30/2006 09/30/2013 6604 Beau Chene NE Albuquerque NM 87111 Bernalillo Active 04/24/2012 09/30/2013 546 Harkle Rd., Ste B Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2014 P.O. Box 452 Gallup NM 87305 McKinley Active 04/14/2009 09/30/2013 PO Box 3538 Roswell NM 88202 Chaves Active 03/16/2005 09/30/2014 218 Broadway SE Albuquerque NM 87102 Bernalillo Active 06/30/1994 09/30/2014 PO Box 631 Abiquiu NM 87510 Rio Arriba Active 04/30/1995 09/30/2014 1721 Prospect Aven., NW Albuquerque NM 87104 Bernalillo Active 10/21/2010 09/30/2014 2546 Camino San Patricio Santa Fe NM 87505 Santa Fe Active 12/20/2005 09/30/2014 P.O. Box 1561 Sandia Park NM 87047 Bernalillo Active 05/31/1998 09/30/2013 P.O. Box 10127 Albuquerque NM 87184-0127 Bernalillo Active 12/31/2001 09/30/2013 6008 Tierra Street NE. Apt G Albuquerque NM 87111 Bernalillo Active 06/08/1995 09/30/2014 129 West Victoria Street Silver City NM 88061-5230 Grant Active 08/15/2012 03/31/2013 316 Moon NE Albuquerque NM 87123 Bernalillo Active 03/26/2012 09/30/2013 2811 Indian School NE Albuquerque NM 87110 Bernalillo Active 09/30/1994 09/30/2013 Page 30 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0138511 Bobbybee Blanquez 0128871 Substance Abuse Associate Juan Blea 0098131 Alcohol and Drug Counselor Barbara Ann Bligh-Hallock 0124161 Professional Mental Health Counselor Brian Duane Blocker 0064151 Clinical Mental Health Counselor (LPCC) Kimberlee Ann Bloemker 005945 Professional Mental Health Counselor Jane B. Bloom 0137341 Licensed Mental Health Counselor Holly Blue-Sky-Rey 5015 Licensed Mental Health Counselor Margaret P. Bluehorse-Anderson 3855 Substance Abuse Associate Michelle M. Bluett 4814 Alcohol and Drug Counselor Teresa Rose Blythe 0094371 Professional Mental Health Counselor Katharine Mulford Boaz 0084571 Professional Mental Health Counselor Bobby W. Sykes 0124051 CEU Provider Certificate Sandra Cecelia Bodge 0149001 Clinical Mental Health Counselor (LPCC) Denise M Boeder 0075171 Substance Abuse Associate Debra D. Boehme, DOM Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 11820 El Solindo Ave NE Albuquerque NM 87111 Bernalillo Active 03/10/2011 09/30/2014 2442 Cerrillos Rd., # 195 Santa Fe NM 87505 Santa Fe Active 01/20/2010 09/30/2013 7700 Goshawk Rd. NW Albuquerque NM 87114 Bernalillo Expired 11/07/2006 09/30/2009 4001 Paseo Vista Place NE Rio Rancho NM 87124 Sandoval Active 07/07/2009 09/30/2013 6217 Via Corta Del Sur NW Albuquerque NM 87120 Bernalillo Active 09/30/2002 09/30/2013 PO Box 1792 Mesilla NM 88046 Dona Ana Active 05/31/2001 09/30/2013 5501 9th Street NW Albuquerque NM 87107 Bernalillo Active 01/13/2011 09/30/2014 PO Box 3297 Shiprock NM 87420 San Juan Expired 06/30/1999 09/30/2009 4606 Atlantic St. Farmington NM 87402 San Juan Expired 06/30/1997 09/30/2009 223 Calle De Las Familias Los Lunas NM 87031 Valencia Active 12/31/1999 09/30/2013 7 Cerrado Drive Santa Fe NM 87508 Santa Fe Active 07/13/2006 09/30/2013 2727 San Pedro NE #120 Albuquerque NM 87110 Bernalillo Active 07/29/2005 09/30/2013 P.O. Box 2916 Ranchos de Taos NM 87557 Taos Active 07/01/2009 09/30/2013 215 Anderson Ave. N Tatum NM 88267 Lea Active 04/10/2012 09/30/2013 785 Tramway Lane NE #5 Albuquerque NM 87122 Bernalillo Active 08/12/2004 09/30/2013 Page 31 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0101811 Judith Anne Boehmer 0134331 Clinical Mental Health Counselor (LPCC) Brandy J Boerner 0151781 Licensed Mental Health Counselor Brandy J Boerner 0070841 Temporary License Virginia S. Bohart 0094461 Licensed Mental Health Counselor Nancy N. Boland 0077101 Clinical Mental Health Counselor (LPCC) Melody J. Bolen 0161 Marriage and Family Therapist Calvin H. Bolinder 0138441 Clinical Mental Health Counselor (LPCC) Jennifer Leigh Bonalumi 0152421 Alcohol and Drug Counselor Joseph A Boncek 005447 Temporary License Richard David Bonham 4932 Alcohol and Drug Counselor Marilee S. Boole 3464 Licensed Mental Health Counselor Deborah A. Booth 0068552 Clinical Mental Health Counselor (LPCC) Patricia M. Bootzin 0123101 Professional Mental Health Counselor Heidi Rene Borden 0070011 Clinical Mental Health Counselor (LPCC) Laurie T. Borden Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5635 Charles Russell Rd. Las Cruces NM 88011 Dona Ana Active 03/14/2007 09/30/2014 229 Grosvenor Ct Alamogordo NM 88310 Otero Active 08/18/2010 09/30/2013 229 Grosvenor Ct Alamogordo NM 88310 Otero Active 07/27/2012 02/28/2013 50 Alondra Rd Santa Fe NM 87508 Santa Fe Active 02/29/2004 09/30/2013 P.O. Box 4 Lovington NM 88260 Lea Active 07/14/2006 09/30/2013 5005 Cresta Del Sur Ct NE Albuquerque NM 87111 Bernalillo Active 11/02/2004 09/30/2013 PO Box 116 Alamogordo NM 88311-0116 Otero Active 06/30/1994 09/30/2013 4252 Independence Loop Las Cruces NM 88005 Dona Ana Active 03/07/2011 09/30/2014 2718 Galisteo Ct. *3 Santa Fe NM 87505 Santa Fe Active 08/21/2012 03/31/2013 205 N. Auburn Farmington NM 87401 San Juan Expired 01/31/2001 09/30/2009 P.O. Box 22062 Santa Fe NM 87505 Santa Fe Active 03/31/1999 09/30/2014 305 Sioux Court Boulder City NV 89005 Clark Active 04/30/1997 09/30/2013 1841 SW 13th Court Gresham OR 97080 Multnomah Retired 10/31/2003 09/30/2008 1316 Sheldon Street Clovis NM 88101 Curry Active 05/22/2009 09/30/2013 812 Leroy Place Socorro NM 87801 Socorro Active 12/31/2003 09/30/2013 Page 32 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0091781 Laurie T. Borden 0152961 Clinical Mental Health Counselor (LPCC) Border Area Mental Services 0127921 CEU Provider Certificate Kimberlee Marie Boreson-Maresma 0779 Licensed Mental Health Counselor Judy G. Borich 0155031 Marriage and Family Therapist Nicole R. Borsberry 0141841 Temporary License David S. Borunda 0056 Substance Abuse Associate Mark L. Boschelli 0067632 Clinical Mental Health Counselor (LPCC) Mark L. Boschelli 0152511 Alcohol and Drug Counselor David J. Boston 0117 Licensed Mental Health Counselor Cal Boswell, DOM 0263 Clinical Mental Health Counselor (LPCC) Rosvita Botkin 0149211 Art Therapist Francesca R. Bottos 0124121 Clinical Mental Health Counselor (LPCC) Bonnie J. Boucher 0128261 Clinical Mental Health Counselor (LPCC) Renee Boudreau 0153641 Temporary License Christina D Bourgeois Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 812 Leroy Place Socorro NM 87801 Socorro Active 03/30/2006 09/30/2013 PO Box 1349 Silver City NM 88062 Grant Active 08/30/2012 09/30/2013 4215 Marquette Avenue NE Albuquerque NM 87108 Bernalillo Active 12/04/2009 09/30/2013 P.O. Box 2185 Tijeras NM 87059 Bernalillo Active 06/30/1994 09/30/2013 3048 Corte de Princessa Santa Fe NM 87507 Santa Fe Active 11/27/2012 06/30/2013 PO Box 585 Mesilla Park NM 88047 Dona Ana Active 07/22/2011 09/30/2013 2 Cagua Court Santa Fe NM 87508 Santa Fe Active 04/30/1994 09/30/2014 2 Cagua Court Santa Fe NM 87508 Santa Fe Active 08/31/2003 09/30/2014 913 Lomas Ct. NE Albuquerque NM 87112 Bernalillo Active 08/21/2012 09/30/2013 3509 Smith SE Albuquerque NM 87106 Bernalillo Active 04/30/1994 09/30/2013 1310 Lejano Lane Santa Fe NM 87501 Santa Fe Active 09/30/1995 09/30/2013 508 Fulton, Apt. C Santa Fe NM 87505 Santa Fe Active 04/17/2012 09/30/2013 P.O. Box 11068 Albuquerque NM 87192 Bernalillo Active 07/07/2009 09/30/2013 P.O. Box 781 Mesilla NM 88046 Dona Ana Null and Void 12/22/2009 03/31/2011 9903 Alberta Way Las Cruces NM 88011 Dona Ana Active 09/25/2012 09/30/2014 Page 33 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0121301 Lynette Bowannie 0124651 Alcohol and Drug Counselor Jennifer M. Bowe 0148411 Licensed Mental Health Counselor Jennifer M. Bowe 0093651 Clinical Mental Health Counselor (LPCC) Amy A. Bowen 0134491 Clinical Mental Health Counselor (LPCC) Aaron A Bower 0090891 Licensed Mental Health Counselor Deborah Lash Bower, Ph.D. 0152271 Clinical Mental Health Counselor (LPCC) Phyllis H. Bowers 0099931 Temporary License James Eddie Bowie 0286 Clinical Mental Health Counselor (LPCC) Carol A. J. Bowman 005668 Clinical Mental Health Counselor (LPCC) Marsha L. Bowman 0152781 Clinical Mental Health Counselor (LPCC) Sherri Lynn Bowman 0142501 Licensed Mental Health Counselor Christian Bown 005434 Licensed Mental Health Counselor Barbara Sue Bowyer 0090101 Substance Abuse Associate Gail Marie Boyd 1473 Marriage and Family Therapist Jan L. Boyer Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 559 Zuni NM 87327 McKinley Active 03/10/2009 09/30/2013 515 Pennsylvania St. NE Albuquerque NM 87108 Bernalillo Upgraded 07/21/2009 09/30/2013 515 Pennsylvania St. NE Albuquerque NM 87108 Bernalillo Active 03/27/2012 09/30/2013 406 Graham Ave. Santa Fe NM 87501 Santa Fe Active 06/20/2006 09/30/2013 23 Sumption Rd Sandia Park NM 87047 Bernalillo Active 08/25/2010 09/30/2013 12509 Tamarac NE Albuquerque NM 87111 Bernalillo Retired 03/13/2006 09/30/2009 623 Bryn Mawr Dr. NE Albuquerque NM 87106 Bernalillo Active 08/15/2012 03/31/2013 1524 Garner Lane Longview TX 75605 Gregg Retired 01/12/2007 09/30/2008 3901 Georgia NE, Ste. B-2 Albuquerque NM 87110 Bernalillo Active 05/31/1994 09/30/2014 PO Box 620 PO Box 620 Silver City NM 88062 1121 Dorothy NE Albuquerque NM 87112 Grant Active 09/30/2001 09/30/2014 Bernalillo Active 08/29/2012 09/30/2013 1187 Senda del Valle Santa Fe NM 87507 Santa Fe Active 08/17/2011 09/30/2014 721 W. Mauntian Las Cruces NM 88005 Dona Ana Expired 08/31/2000 09/30/2009 9128 Surrey NE Albuquerque NM 87109 Bernalillo Active 02/14/2006 09/30/2013 815 Rio Vista St. Santa Fe NM 87501 Santa Fe Active 09/30/1994 09/30/2013 Page 34 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0155261 Darin Michael Boylan 0149871 Temporary License Erik N Bracht 0109311 Clinical Mental Health Counselor (LPCC) Michael Bradford 3749 Substance Abuse Associate Trina M. Bradley 2385 Alcohol and Drug Counselor Mary E. Bradshaw 0125881 Clinical Mental Health Counselor (LPCC) Virginia M. Brady 0141991 Marriage and Family Therapist Michelle R. Brandser 0141981 Alcohol and Drug Counselor Michelle R. Brandser 0093431 Clinical Mental Health Counselor (LPCC) Brenda J. Brandt 0085211 Clinical Mental Health Counselor (LPCC) Jane R. Brandt 1721 Clinical Mental Health Counselor (LPCC) Sheila M. Brandt 0067942 Clinical Mental Health Counselor (LPCC) Judith A. Branham 1330 Professional Mental Health Counselor Wanda Kidwell Brasgala 1785 Clinical Mental Health Counselor (LPCC) Wanda Kidwell Brasgala 0095411 Marriage and Family Therapist Amy T. Brashear Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2 Canyon Ridge Rd. Sandia Park NM 87047 Bernalillo Active 11/29/2012 06/30/2013 2800 N. Roadrunner Parkway #601 Las Cruces NM 88011 Dona Ana Active 05/08/2012 09/30/2013 922 Brookside Cortez CO 81321 Montezuma Expired 11/19/2007 09/30/2009 P.O. Box 75 Grants NM 87020 Cibola Active 01/31/1997 09/30/2013 12 Prairie Crest Drive Santa Fe NM 87508 Santa Fe Active 09/30/1994 09/30/2013 11315 Pinos Altos Avenue NE Albuquerque NM 87111 Bernalillo Active 09/11/2009 09/30/2013 1610 107th Place SE Everett WA 98208 Snohomish Active 08/02/2011 09/30/2013 1610 107th Place SE Everett WA 98208 Snohomish Active 08/02/2011 09/30/2013 205 University Drive Ruidoso NM 88345 Lincoln Active 06/14/2006 09/30/2013 21 Holiday Drive Tijeras NM 87059 Bernalillo Active 08/24/2005 09/30/2014 PO Box 42 Los Alamos NM 87544 Los Alamos Active 07/31/1994 09/30/2013 1204 Arizona NE Albuquerque NM 87110 Bernalillo Active 09/30/2003 09/30/2014 4225 Rio Grande Blvd. NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2014 4225 Rio Grande Blvd. NW Albuquerque NM 87107 Bernalillo Active 08/30/1994 09/30/2013 12404 Tularosa Trail NE Albuquerque NM 87111 Bernalillo Active 08/10/2006 09/30/2013 Page 35 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0152741 Kimberly Brasher 0610 Clinical Mental Health Counselor (LPCC) Lester J. Brasher, Phd, Jr. 0130131 Clinical Mental Health Counselor (LPCC) Juli B. Bray-Morris 3637 Clinical Mental Health Counselor (LPCC) Susan S. Breazeale 0086611 Alcohol and Drug Counselor Maria I. Breheny 0108841 Clinical Mental Health Counselor (LPCC) Bina Breitner 0109611 Marriage and Family Therapist Dorcas F. Brem 0355 Clinical Mental Health Counselor (LPCC) Teresa H. Bremer 0149451 Marriage and Family Therapist Krista Brening 0142751 Clinical Mental Health Counselor (LPCC) Krista Brening 0519 Art Therapist Carol A. Brennan 0087101 Clinical Mental Health Counselor (LPCC) Cynthia A. Brennan 0074331 Clinical Mental Health Counselor (LPCC) Michael D. Brennan 0114801 Clinical Mental Health Counselor (LPCC) Mara Lee Brenner 0093811 Clinical Mental Health Counselor (LPCC) Mary Diane Bresson Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9212 La Barranca Ave NE Albuquerque NM 87111 Bernalillo Active 08/27/2012 09/30/2013 5605 Gladstone Rio Rancho NM 87144 Sandoval Active 06/30/1994 09/30/2014 12 Monterey Santa Fe NM 87508 Santa Fe Active 03/02/2010 09/30/2013 PO Box 483 El Prado NM 87529 Taos Expired 02/28/1997 09/30/2009 132 Sombrio Drive Santa Fe NM 87501 Santa Fe Retired 09/23/2005 09/30/2012 808 West 8th Street Silver City NM 88061 Grant Active 11/01/2007 09/30/2014 PO Box 445 Truth or Consequences NM 87901 Sierra Active 12/04/2007 09/30/2013 1075 Calle Largo Santa Fe NM 87501 Santa Fe Active 09/30/1994 09/30/2013 5907 Terra De Coral St. Santa Fe NM 87507 Santa Fe Active 04/23/2012 09/30/2014 5907 Terra De Coral St. Santa Fe NM 87507 Santa Fe Active 08/25/2011 09/30/2014 P.O. Box 2973 4686 Corrales Rd. #4 Corrales NM 87048 1805 Ridgecrest Circle SE Albuquerque NM 87108 Sandoval Active 07/31/1994 09/30/2013 Bernalillo Retired 10/11/2005 09/30/2012 1025 Vermont Avenue Albuquerque NM 87110 Bernalillo Retired 07/07/2004 09/30/2009 1405 Claire Court NW Albuquerque NM 87104 Bernalillo Active 06/27/2008 09/30/2014 8228 Eddy NE Albuquerque NM 87109 Bernalillo Active 06/22/2006 09/30/2013 Page 36 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0066142 Catherine L. Brewer 0137921 Substance Abuse Associate Judith A. Brey 0144531 Licensed Mental Health Counselor Brian Serna 0146921 CEU Provider Certificate Maureen B Brickley 0151911 Clinical Mental Health Counselor (LPCC) Bridges, Inc. 0091461 CEU Provider Certificate Kathryn Anne Briggs 0111971 Licensed Mental Health Counselor Alexandra Wilhemeni Bright 0144801 Substance Abuse Associate Kathleen N. Brillhart 0122201 Clinical Mental Health Counselor (LPCC) Sarah Beth Brion 0148421 Licensed Mental Health Counselor Sonya J. Briones-Parks 4916 Licensed Mental Health Counselor Judith G. Britton 0079591 Substance Abuse Associate Pamela Susan Britton 0083 Marriage and Family Therapist Beatrice J. Brlyvich-Becker 0096111 Clinical Mental Health Counselor (LPCC) Carl Dallas Broach 4455 Clinical Mental Health Counselor (LPCC) Marc Senior Broadway Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 309 Russell St. Carlsbad NM 88220 Eddy Retired 04/30/2003 09/30/2008 1855 Tramway Terrace Loop NE Albuquerque NM 87122 Bernalillo Active 02/14/2011 09/30/2014 2904 Avenida Alamosa Santa Fe NM 87507 Santa Fe Active 10/26/2011 09/30/2013 716 W. La Entrada Corrales NM 87048 Sandoval Active 02/01/2012 09/30/2013 6501 Cypress Point Way NE Albuquerque NM 87111 Bernalillo Active 08/06/2012 09/30/2013 P.O. Box 919 Mesilla NM 88046 Dona Ana Expired 03/21/2006 09/30/2009 5308 Summer NE. Albuquerque NM 87110 Bernalillo Active 03/13/2008 09/30/2014 1112 Stutz Dr. NE. Albuquerque NM 87123 Bernalillo Active 11/08/2011 09/30/2013 1321 Chihuahua Rd. NE Rio Rancho NM 87144 Sandoval Active 04/03/2009 09/30/2013 1100 Gold Ave. SW, Apt.2 Albuquerque NM 87102 Bernalillo Active 03/28/2012 09/30/2013 P.O. Box 285 Hobbs NM 88240 Lea Active 05/31/1999 09/30/2014 11104 Mahlon Ave. NE Albuquerque NM 87112 Bernalillo Active 02/23/2005 09/30/2014 4020 N Lausanne Way Flagstaff AZ 86004 Coconino Active 05/31/1994 09/30/2013 6324 Raymac Ct. SW Albuquerque NM 87105 Bernalillo Active 09/05/2006 09/30/2013 2011 Troy King Road, #10 Farmington NM 87401 San Juan Active 04/30/1998 09/30/2013 Page 37 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2075 Jane R. Brodie 3083 Marriage and Family Therapist Barbara Brodkowitz 1474 Professional Mental Health Counselor Paula N. Bromberg 0143131 Clinical Mental Health Counselor (LPCC) Corrianne H. Broner 0064961 Clinical Mental Health Counselor (LPCC) Kathleen Y. Brooks 0133481 Substance Abuse Associate Kelly Brooks 0692 Clinical Mental Health Counselor (LPCC) Marcie P. Brooks 0133631 Clinical Mental Health Counselor (LPCC) Margie A. Brooks 0141921 Alcohol and Drug Counselor Sheila M. Broome 0084151 Licensed Mental Health Counselor Leah Joy Brouwers 0126581 Marriage and Family Therapist Amanda Nicole Brown 0129411 Alcohol and Drug Counselor Amanda Nicole Brown 0154041 Licensed Mental Health Counselor Arlene L. Brown 0073861 Temporary License Cheryl Romero Brown 0148721 Clinical Mental Health Counselor (LPCC) Connie Louella Brown Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 2681 Santa Fe NM 87504-2681 Santa Fe Retired 07/31/1995 09/30/2009 2685 E. Hoquiam Rd. Hoquiam WA 98550 Grays Harbor Expired 04/30/1997 09/30/2009 2017 South Ocean Dr. #1102 Hallandale FL 33009 Broward Active 07/31/1994 09/30/2014 1429 San Andres, NW Albuquerque NM 87107 Bernalillo Active 09/13/2011 09/30/2014 1015 Pennsylvania NE Albuquerque NM 87108 Bernalillo Expired 12/31/2002 09/30/2009 808 Manzano St. NE Albuquerque NM 87110 Bernalillo Active 07/15/2010 09/30/2013 15 Amigos Lane Santa Fe NM 87508 Santa Fe Active 07/31/1994 09/30/2014 917 Washington St. SE Albuquerque NM 87108 Bernalillo Active 07/19/2010 09/30/2013 505 Corrales Clovis NM 88101 Curry Active 07/26/2011 09/30/2014 808 Vassar SE Albuquerque NM 87106 Bernalillo Active 07/15/2005 09/30/2014 8216 Camino San Martin SW Albuquerque NM 87121 Bernalillo Active 10/08/2009 09/30/2013 8216 Camino San Martin SW Albuquerque NM 87121 Bernalillo Active 02/04/2010 09/30/2013 PO Box 962 Gallup NM 87305 McKinley Active 10/11/2012 05/31/2013 343 Calle Felipe Los Lunas NM 87031 Valencia Active 06/02/2004 09/30/2013 511 Welshire Carlsbad NM 88220 Eddy Active 03/29/2012 03/31/2013 Page 38 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2389 Jerry W. Brown 0130411 Clinical Mental Health Counselor (LPCC) Latitia D. Brown 0154431 Licensed Mental Health Counselor Latitia D. Brown 0143371 Temporary License Latrecia R. Brown 0154001 Licensed Mental Health Counselor Lula M. Brown 0149061 Licensed Mental Health Counselor Nancy Leeann Brown 0150871 Alcohol and Drug Counselor Nancy Leeann Brown 0155531 Temporary License Nancy Leeann Brown 0112861 Temporary License Nicholas David Brown 0094201 Licensed Mental Health Counselor Patricia A. Brown 0097101 Clinical Mental Health Counselor (LPCC) Patricia Lynn Brown 0078201 Marriage and Family Therapist Rande L. Brown 4146 Alcohol and Drug Counselor Wayne M. Brown 0093481 Alcohol and Drug Counselor Karen Brownd 0085041 Clinical Mental Health Counselor (LPCC) Mary S. Browne Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date Alpine Clinic - 2243 Main Ave., Suite 4 Durango CO 81301 La Plata Active 05/30/1995 09/30/2013 5712 Euclid Ave. NE Albuquerque NM 87110 Bernalillo Active 03/16/2010 09/30/2013 5712 Euclid Ave. NE Albuquerque NM 87110 Bernalillo Active 10/25/2012 05/31/2013 1719 Desert Ridge Rd. SW Albuquerque NM 87121 Bernalillo Active 09/19/2011 09/30/2013 3724 Ben Crenshaw Clovis NM 88101 Curry Active 10/10/2012 09/30/2014 1114 S. 4th Sp. 4 Artesia NM 88210 Eddy Active 04/12/2012 09/30/2013 1114 S. 4th Sp. 4 Artesia NM 88210 Eddy Null and Void 06/19/2012 01/31/2013 1114 S. 4th Sp. 4 Artesia NM 88210 Eddy Active 12/10/2012 07/31/2013 157 Nine Mile Rd. Santa Fe NM 87508 Santa Fe Active 04/14/2008 09/30/2014 927 Tramway Lane NE Albuquerque NM 87122 Bernalillo Active 07/07/2006 09/30/2013 15 Blanco Drive Edgewood NM 87015-9579 Santa Fe Active 09/28/2006 09/30/2013 P.O. Box 3 Polvadera NM 87828 Socorro Active 01/03/2005 09/30/2014 3004 Delano N.E. Albuquerque NM 87106 Bernalillo Active 01/31/2000 09/30/2014 1310 oak grove rd dickson TN 37055 Dickson Active 06/14/2006 09/30/2013 14212 Marquette Drive NE Albuquerque NM 87123-1816 Bernalillo Active 08/19/2005 09/30/2014 Page 39 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0101801 Sandra R. Browne 0114991 Clinical Mental Health Counselor (LPCC) Cynthia Kay Brownlee 0799 Clinical Mental Health Counselor (LPCC) Paul R. Bruce 0118111 Professional Mental Health Counselor Priscilla Christine Bruch 0149341 Marriage and Family Therapist Rachael S. Bruck 0134381 Licensed Mental Health Counselor Bernadette A Bruha 1786 Licensed Mental Health Counselor Sarah J. Bruner 0097281 Marriage and Family Therapist Carol Sue Brusca 0130 Marriage and Family Therapist Donna Bruzzese 0039 Clinical Mental Health Counselor (LPCC) Diane H. Bryan, PhD 3432 Clinical Mental Health Counselor (LPCC) Diane H. Bryan, PhD 0067352 Alcohol and Drug Counselor Lupe E. Bryan 0105921 Alcohol and Drug Counselor Celina Gerese Bryant 0153431 Substance Abuse Associate Christina M. Bryant 0066622 Clinical Mental Health Counselor (LPCC) Elizabeth Merriken Bryant Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 115 Niblic Court Ruidoso NM 88345 Lincoln Active 03/14/2007 09/30/2014 2303 Perilla Court Santa Fe NM 87505 Santa Fe Active 07/08/2008 09/30/2014 3433 McNary Pkwy, Unit 805 Lake Oswego OR 97035 Clackamas Active 08/30/1994 09/30/2013 10433 Pamplona St. NW Albuquerque NM 87114 Bernalillo Active 11/05/2008 09/30/2014 243 Somerset Rd Oakland CA 94611 Alameda Active 04/19/2012 09/30/2013 6704 Carney Ave. NW Albuquerque NM 87120 Bernalillo Active 08/19/2010 09/30/2013 307 E. Chaco Aztec NM 87410 San Juan Active 08/30/1994 09/30/2014 4639 Idlewilde SE Albuquerque NM 87108 Bernalillo Active 10/11/2006 09/30/2013 400 12th St. NW Albuquerque NM 87102 Bernalillo Active 06/30/1994 09/30/2014 851 Gomez Rd. El Paso TX 79932 El Paso Active 05/30/1995 09/30/2013 851 Gomez Rd. El Paso TX 79932 El Paso Active 01/31/1997 09/30/2014 7942 4th St. NW, #8 Albuquerque NM 87114 Bernalillo Active 07/01/2003 09/30/2014 1806 W Briscoe Avenue Artesia NM 88210 Eddy Active 07/24/2007 09/30/2014 68 Calle De La Noche NE Albuquerque NM 87109 Bernalillo Active 09/17/2012 09/30/2013 P.O. Box 4913 Ruidoso NM 88355 Lincoln Active 05/31/2003 09/30/2014 Page 40 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 5016 Shelia D. Bryant 0122001 Professional Mental Health Counselor Bryce Pittenger, LPCC 1788 CEU Provider Certificate Rhoda W. Bubar 0155221 Clinical Mental Health Counselor (LPCC) Elizabeth A. Buck 0075491 Temporary License Elizabeth Ann Buck 0078481 Clinical Mental Health Counselor (LPCC) Jason Keith Buckles 0102861 Clinical Mental Health Counselor (LPCC) Linda Gail Buckner 0122021 Marriage and Family Therapist Laura Cathlin Buell 0146151 Licensed Mental Health Counselor Jolene M. Bueno 0597 Temporary License Judith H. Buffaloe 4537 Marriage and Family Therapist Hannah Leigh Bull 3156 Marriage and Family Therapist Vickie Ann Bulling 0141911 Clinical Mental Health Counselor (LPCC) Tara Bullington 0064931 Substance Abuse Associate Dana Lynne Bunge 0077191 Clinical Mental Health Counselor (LPCC) Elizabeth M. Bunker Professional Mental Health Counselor Printed: 01/15/2013 General Address County HAS Unit # 15743 APO AP 96271-5743 License Status Issue Date Expiration Date Active 12/31/1999 09/30/2014 636 Fairway Rd. NW Albuquerque NM 87107 Bernalillo Expired 03/27/2009 09/30/2009 PO Box 65232 Albuquerque NM 87193 Bernalillo Active 07/31/1994 09/30/2014 P.O. Box 852 Santa Fe NM 87504 Santa Fe Active 11/29/2012 06/30/2013 9117 Redmont Rd. NE Albuquerque NM 87109 Bernalillo Active 09/09/2004 09/30/2013 2124 Wilma NW Albuquerque NM 87104 Bernalillo Active 01/12/2005 09/30/2014 6655 W. Sahara Ave., Suite B-200 Las Vegas NV 89146 Clark Retired 04/16/2007 09/30/2008 4225 Courtney Avenue NE Albuquerque NM 87108 Bernalillo Active 03/30/2009 09/30/2014 6504 Martin Ct. NE Albuquerque NM 87109 Bernalillo Null and Void 01/11/2012 08/31/2012 P.O. Box 265 Embudo NM 87531 Rio Arriba Active 07/31/1994 09/30/2013 P.O. Box 305 Medanales NM 87548 Rio Arriba Active 01/31/1999 09/30/2013 3050 So 72nd Street Lincoln NE 68506 Lancaster Retired 05/31/1998 09/30/2012 1322 Mission Nuevo #C Las Cruces NM 88011 Dona Ana Active 07/26/2011 09/30/2014 P.O. Box 1891 Tijeras NM 87059 Bernalillo Active 12/31/2002 09/30/2013 51 East Old Agua Fria Santa Fe NM 87508 Santa Fe Active 11/05/2004 09/30/2013 Page 41 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4941 Gregory C. Bunker 0151611 Licensed Mental Health Counselor Myron Jon Burger 0073981 Substance Abuse Associate Alexia Janine Burke 0140491 Clinical Mental Health Counselor (LPCC) Arlene Jo Burke 2195 Licensed Mental Health Counselor Diane C. Burke 0156191 Clinical Mental Health Counselor (LPCC) Shannon M. Burke 0147941 Clinical Mental Health Counselor (LPCC) Jillian Burkett 0082631 Marriage and Family Therapist Ruth L.M. Burkhart 1730 Clinical Mental Health Counselor (LPCC) Jennifer L. Burleton 0122271 Clinical Mental Health Counselor (LPCC) Laurel Ianne Burnett 0150041 Licensed Mental Health Counselor Mallory Helen Burnett 0143341 Clinical Mental Health Counselor (LPCC) Jason W. Burney 0103251 Licensed Mental Health Counselor Carolyn Lorene Burns 0059 Marriage and Family Therapist Elizabeth A. Burr 2191 Clinical Mental Health Counselor (LPCC) Patricia M. Burr Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7300 Malaga NE Albuquerque NM 87109 Bernalillo Active 03/31/1998 09/30/2013 42 Calle Agua Clara Santa Fe NM 87508 Santa Fe Active 07/19/2012 09/30/2013 1105 Don Gaspar Santa Fe NM 87505 Santa Fe Active 06/09/2004 09/30/2013 21 Vista Precioso Santa Fe NM 87507 Santa Fe Active 06/02/2011 09/30/2014 P.O. Box 914 Santa Fe NM 87504 Santa Fe Active 04/30/1995 09/30/2013 21 Dingo Rd. Moriarty NM 87035 Torrance Active 01/14/2013 09/30/2014 1977 Pinetrail Street Unit C Las Cruces NM 88012-6306 Dona Ana Active 03/19/2012 09/30/2013 3769 Damonite Court Las Cruces NM 88012 Dona Ana Active 06/13/2005 09/30/2014 8035 Aspen Ave. NE Albuquerque NM 87110 Bernalillo Active 08/30/1994 09/30/2014 P.O. Box 51561 Albuquerque NM 87181-1561 Bernalillo Active 04/08/2009 09/30/2013 47 Desert Willow Road Corrales NM 87048 Sandoval Active 05/18/2012 09/30/2013 815 Coal Avenue SW #17 Albuquerque NM 87102 Bernalillo Active 09/19/2011 09/30/2013 209 Vuelta Roble Santa Fe NM 87501 Santa Fe Active 04/25/2007 09/30/2014 P.O. Box 94 Deming NM 88031 Luna Active 04/30/1994 09/30/2013 5736 Osuna Rd., NE, Suite 4 Albuquerque NM 87109 Bernalillo Active 12/31/1998 09/30/2013 Page 42 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0074601 Lawanna J. Burress-Holland 0142331 Marriage and Family Therapist Amanda J. Burress 2077 Licensed Mental Health Counselor Fran Burton 0145241 Clinical Mental Health Counselor (LPCC) Ilse Gentry Katharina Burton 0107051 Clinical Mental Health Counselor (LPCC) Melissa J. Busby 0105041 Professional Mental Health Counselor Vickie L. Busby 0155011 Substance Abuse Associate Vickie L. Busby 2396 Temporary License Carole Ann Busch, M.Ed. 0138321 Art Therapist Lauro Joseph Bustamante 1074 Substance Abuse Associate Michael R. Buszek 0118841 Marriage and Family Therapist Leslie A. Butcher 0103491 Clinical Mental Health Counselor (LPCC) Vickie A. Butler 0114721 Alcohol and Drug Counselor Jane Rebecca Butterworth 4822 Marriage and Family Therapist Janet Sue By 0086251 Licensed Mental Health Counselor Kimberly Shannon Byrne Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 115 Three Cross Dr. Roswell NM 88201 Chaves Active 07/19/2004 09/30/2013 3401 Gidding Street Apt. B Clovis NM 88101 Curry Active 08/11/2011 09/30/2014 P.O. Box 5245 Santa Fe NM 87502 Santa Fe Active 07/31/1994 09/30/2013 5128 La Bajada NW Albuquerque NM 87105 Bernalillo Active 11/30/2011 09/30/2013 4008 Fran Drive Silver City NM 88061 Grant Active 08/29/2007 09/30/2014 PO Box 1734 Farmington NM 87499 San Juan Active 06/29/2007 09/30/2014 PO Box 1734 Farmington NM 87499 San Juan Active 11/27/2012 04/30/2013 4116 Obar Drive Chattanooga TN 37419 Hamilton Active 09/30/1994 09/30/2014 15220 Los Angeles St. Clint TX 79836 El Paso Active 02/28/2011 09/30/2014 6 Vista La Madera Sandia Park NM 87047 Bernalillo Active 06/30/1994 09/30/2014 3892 Basswood Drive Alamogordo NM 88310 Otero Active 12/18/2008 09/30/2014 2266 Calle De Ortiz Los Lunas NM 87031 Valencia Active 05/07/2007 09/30/2014 148 Cottonwood Canyon Road La Luz NM 88337 Otero Active 06/24/2008 09/30/2014 3609-B Moon Street NE Albuquerque NM 87111 Bernalillo Expired 11/30/1998 09/30/2009 711 N. Heights Dr. Roswell NM 88203 Chaves Active 09/15/2005 09/30/2014 Page 43 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0075421 C.G. Jung Institute of Santa Fe 0144891 CEU Provider Certificate Jennifer R. Cable 1476 Substance Abuse Associate Jennifer L. Cady 4290 Clinical Mental Health Counselor (LPCC) Jennifer L. Cady 0152971 Alcohol and Drug Counselor Dominic John Cagliostro 0127531 Temporary License Eliza Cain 0152821 Clinical Mental Health Counselor (LPCC) Karen M. Cain 0922 Clinical Mental Health Counselor (LPCC) Marie A. Cain 005748 Professional Mental Health Counselor Diego Calabaza 0139101 Alcohol and Drug Counselor Jessica L. Caldera 0086331 Licensed Mental Health Counselor Barbara P. Caldwell 0111451 Clinical Mental Health Counselor (LPCC) Barbara P. Caldwell 0124911 Alcohol and Drug Counselor Teisha Kay Caldwell 0153601 Alcohol and Drug Counselor Teisha Kay Caldwell Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 60 Arroyo Calabasas Road Santa Fe NM 87506-2110 Santa Fe Active 08/31/2004 09/30/2013 4395 Jon Cannungham Blvd. #212 El Paso TX 79934 El Paso Active 11/14/2011 09/30/2013 5412 Granite NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 5412 Granite NE Albuquerque NM 87110 Bernalillo Active 08/30/1998 09/30/2014 4720 Pershing Ave. SE Albuquerque NM 87108 Bernalillo Active 08/30/2012 01/31/2013 621 N. California St. Silver City NM 88061 Grant Active 11/18/2009 09/30/2013 PO Box 1154 Pecos NM 87552 San Miguel Active 08/29/2012 09/30/2013 12 Canyon Lane Cedar Crest NM 87008 Bernalillo Active 07/31/1994 09/30/2014 P.O. Box 1384 Pena Blanca NM 87041 Sandoval Active 01/31/2002 09/30/2014 1796 Quay Rd 60 San Jon NM 88434 Quay Active 04/01/2011 09/30/2014 5600 Gibson Blvd SE Apt 361 Apt 361 Albuquerque NM 87108 5600 Gibson Blvd SE Apt 361 Apt 361 Albuquerque NM 87108 PMS/Valley Community Health Center, 1206 N. Riverside Drive Espanola NM 87532 PMS/Valley Community Health Center, 1206 N. Riverside Drive Espanola NM 87532 Bernalillo Active 09/15/2005 09/30/2014 Bernalillo Active 02/19/2008 09/30/2014 Rio Arriba Active 07/28/2009 09/30/2013 Rio Arriba Active 09/24/2012 09/30/2014 Page 44 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0106251 Tammy Genise Calfee 0142481 Alcohol and Drug Counselor Alexandra E. Calhoun 0136061 Licensed Mental Health Counselor Hoyden D Callaway 0132841 Licensed Mental Health Counselor Jessica Lynn Callaway 0134041 Clinical Mental Health Counselor (LPCC) Jessica Lynn Callaway 0121601 Art Therapist Oona J. Callaway 0066442 Clinical Mental Health Counselor (LPCC) Beverly Ann Calloway 0826 Professional Mental Health Counselor Nancy A. Calloway 0103231 Clinical Mental Health Counselor (LPCC) Ricky G. Calvert 0100201 Alcohol and Drug Counselor Courtney Y. Cameron 1477 Alcohol and Drug Counselor Susan C. Cameron 0106511 Clinical Mental Health Counselor (LPCC) John P. Cammarata 0148781 Clinical Mental Health Counselor (LPCC) Jennifer M. Camp 0613 Temporary License Jill J. Camp 0069931 Clinical Mental Health Counselor (LPCC) Shawna L. Campbell-Rosenthal Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 92901 Albuquerque NM 87199 Bernalillo Active 08/06/2007 09/30/2014 4395 Laughing Crow Ln. Santa Fe NM 87507 Santa Fe Active 08/17/2011 09/30/2014 981 roadrunner circle las cruces NM 88011 Dona Ana Active 11/05/2010 09/30/2014 1462 Avenida De Las Americas Santa Fe NM 87507 Santa Fe Active 06/11/2010 09/30/2013 1462 Avenida De Las Americas Santa Fe NM 87507 Santa Fe Active 08/05/2010 09/30/2013 19 Cochiti East Santa Fe NM 87508 Santa Fe Active 03/16/2009 09/30/2013 11005 Griffith Park Drive NE Albuquerque NM 87123 Bernalillo Active 05/31/2003 09/30/2014 1620 Ranch Court SE Albuquerque NM 87123 Bernalillo Active 07/31/1994 09/30/2014 1302 W. Third Roswell NM 88201 Chaves Active 04/25/2007 09/30/2014 1818 Marble NW Albuquerque NM 87104 Bernalillo Active 01/22/2007 09/30/2014 10687 Weymouth St., Unit 3 Bethesda MD 20814 Montgomery Active 07/31/1994 09/30/2013 8 Antelope Hill Santa Fe NM 87508 Santa Fe Active 08/09/2007 09/30/2014 609A Baca St. Santa Fe NM 87505 Santa Fe Deceased 04/03/2012 09/30/2012 3900 Juan Tabo NE, Suite 13 Albuquerque NM 87111 Bernalillo Active 06/30/1994 09/30/2013 135-B Sichler Road Los Lunas NM 87031 Valencia Active 12/31/2003 09/30/2013 Page 45 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0086191 Andrea Campbell 0082521 Clinical Mental Health Counselor (LPCC) Cydney D. Campbell 0145231 Licensed Mental Health Counselor Cydney D. Campbell 0153091 Temporary License Cydney D. Campbell 4401 Temporary License Donald Campbell 0122751 Alcohol and Drug Counselor Jeanetta Gail Campbell 0095301 Substance Abuse Associate Mary Margaret Campbell 0126031 Alcohol and Drug Counselor Zachary Joseph Campbell 0123671 Licensed Mental Health Counselor Julieta Campos-Medina 0108671 Licensed Mental Health Counselor Carlos Campos 0129141 Substance Abuse Associate Carlos Campos 0108371 Alcohol and Drug Counselor Tanya M. Campos 1403 Professional Mental Health Counselor Aletha J. Camunez 0143741 Clinical Mental Health Counselor (LPCC) Virginia S. Canada 0069761 Clinical Mental Health Counselor (LPCC) Bobby Candelaria Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1 Spur Cross PL Santa Fe NM 87508 Santa Fe Active 09/13/2005 09/30/2014 5345 Revi Don Dr NE Albuquerque NM 87111 Bernalillo Active 06/09/2005 09/30/2014 5345 Revi Don Dr NE Albuquerque NM 87111 Bernalillo Null and Void 11/30/2011 06/30/2012 5345 Revi Don Dr NE Albuquerque NM 87111 Bernalillo Active 09/06/2012 04/30/2013 P.O. Box 3073 Sparks NV 89432 Washoe Active 01/31/2000 09/30/2013 P.O. Box 20477 Albuquerque NM 87154-0477 Bernalillo Active 05/11/2009 09/30/2013 P.O. Box 2008 Taos NM 87571 Taos Active 08/08/2006 09/30/2013 1803 County Road 101 N. Apt. 111 Apt. 111 Plymouth MN 55447 2000 Foxboro Ct. Las Cruces NM 88007 Hennepin Active 09/16/2009 09/30/2013 Dona Ana Active 06/12/2009 09/30/2013 136 Lomas Avenue Mesquite NM 88048 Dona Ana Expired 10/26/2007 09/30/2009 136 Lomas Avenue Mesquite NM 88048 Dona Ana Active 01/27/2010 09/30/2013 1713 Indian Plaza NE Albuquerque NM 87106 Bernalillo Active 10/18/2007 09/30/2013 1741 Salinas Drive Las Cruces NM 88011 Dona Ana Active 12/31/1996 09/30/2013 10804 Nelle NE Albuquerque NM 87111 Bernalillo Active 10/03/2011 09/30/2013 803 Firwood Bloomfield NM 87413 San Juan Active 12/31/2003 09/30/2013 Page 46 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0084181 Renetta D Cannon 0153311 Substance Abuse Associate Adriana Caputo 0099571 Clinical Mental Health Counselor (LPCC) Mary Jo Carafelli 0110471 Licensed Mental Health Counselor Kathy Maria Caraveo 1015 Clinical Mental Health Counselor (LPCC) Arlene G. Carbajal 0074111 Clinical Mental Health Counselor (LPCC) Mary C. Carder 0074041 Alcohol and Drug Counselor Mary C. Carder 0152621 Marriage and Family Therapist Care Management Services Attn: Mary Everett CEU Provider Certificate Leah H. Carleton 0145281 Temporary License Sylvia M. Carleton 1789 Temporary License Teresa M. Carlin 0099851 Clinical Mental Health Counselor (LPCC) Elizabeth Anne Carling, DOM 0154131 Alcohol and Drug Counselor Sally Anne Carlon 1479 Clinical Mental Health Counselor (LPCC) Charlotte M. Carlson 0138691 Clinical Mental Health Counselor (LPCC) John V. Carlson 0080841 Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1112 Ortiz SE Apt. B Albuquerque NM 87108 Bernalillo Active 07/18/2005 09/30/2014 P.O. Box 3592 Logan UT 84323 Cache Active 09/11/2012 09/30/2013 4176 Chaparron Place Santa Fe NM 87507 Santa Fe Active 01/03/2007 09/30/2014 7101 N. Mesa St. El Paso TX 79912 El Paso Active 01/22/2008 09/30/2013 1203 Vicky Pl. Silver City NM 88061 Grant Active 06/30/1994 09/30/2013 11252 Signal Ridge Drive El Paso TX 79936 El Paso Active 06/21/2004 09/30/2013 11252 Signal Ridge Drive El Paso TX 79936 El Paso Active 06/15/2004 09/30/2013 2211 Lomas Blvd. NE Albuquerque NM 87106 Bernalillo Active 04/06/2005 09/30/2013 2987 Long Bow Loop Las Cruces NM 88011 Dona Ana Active 08/22/2012 03/31/2013 5416 Summer Ave. NE Albuquerque NM 87110 Bernalillo Active 12/02/2011 12/31/2012 2545 Camino Cabestro Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2013 5417 Summer Ave, NE Albuquerque NM 87110 Bernalillo Active 01/11/2007 09/30/2014 9217 Galaxia Way NE Albuquerque NM 87111 Bernalillo Active 10/15/2012 09/30/2014 413 La comunidad NW Albuquerque NM 87114 Bernalillo Active 07/31/1994 09/30/2013 2100 Ranch Dr Farmington NM 87401 San Juan Active 03/18/2011 09/30/2014 Page 47 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0092421 Kay M. Carlson 0137091 Professional Mental Health Counselor Megan T Carlson 2427 Licensed Mental Health Counselor Patricia A. Carlton-McQueen 4519 Professional Mental Health Counselor Natalie Rae Carlton 4722 Clinical Mental Health Counselor (LPCC) Peter Earl Carmany 0152931 Alcohol and Drug Counselor Carmen J. Monrreal 0075141 CEU Provider Certificate Carol A. Brennan, Ph.D., LPCC 0151931 CEU Provider Certificate Carol Frank 0147071 CEU Provider Certificate Carol Henry (Sage Neuroscience) 0122911 CEU Provider Certificate Alec B Carpenter 0923 Licensed Mental Health Counselor Jayne L. Carpenter 0125081 Clinical Mental Health Counselor (LPCC) Patricia Carpio 0125681 Alcohol and Drug Counselor Zahira A. Carr 0240 Clinical Mental Health Counselor (LPCC) Laurel A. Carraher 0063351 Clinical Mental Health Counselor (LPCC) Lena J. Carrasco Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4924 Turquoise Dr. NE Rio Rancho NM 87124 Sandoval Active 04/28/2006 09/30/2013 4115 Spanish Broom Ave. NW Albuquerque NM 87120 Bernalillo Active 01/03/2011 09/30/2014 4027 Mackland Ave. NE Albuquerque NM 87110 Bernalillo Expired 07/31/1994 09/30/2005 7479 NDCBU 1332 Gusdorf Road/Suite A Taos NM 87571 1832 War Admiral Drive SE Albuquerque NM 87123 Taos Active 06/30/2000 09/30/2013 Bernalillo Active 01/31/1999 09/30/2013 3751 Del Rey Blvd. Las Cruces NM 88012 Dona Ana Active 08/30/2012 09/30/2013 P.O. Box 2973 Corrales NM 87048 Sandoval Active 08/31/2003 09/30/2013 1 Monte Vista Ct. Placitas NM 87043 Sandoval Active 08/06/2012 09/30/2013 4710 Jefferson NE Albuquerque NM 87109 Bernalillo Active 02/08/2012 09/30/2013 88 Via Orilla Dorado Santa Fe NM 87508 Santa Fe Active 05/15/2009 09/30/2013 PO Box 1322 Cedar Crest NM 87008-1322 Bernalillo Active 07/31/1994 09/30/2013 12605 Copperwood NE #D Albuquerque NM 87123 Bernalillo Active 08/03/2009 09/30/2013 2507 Alamosa Place Santa Fe NM 87505 Santa Fe Active 08/31/2009 09/30/2013 122 San Salvador Ln. Santa Fe NM 87501-1740 Santa Fe Active 06/30/1994 09/30/2014 1330 Haston Rd. Carlsbad NM 88220 Eddy Expired 04/30/2002 09/30/2009 Page 48 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3700 Adan A. Carriaga 0510 Alcohol and Drug Counselor Deadra D. Carrillo 0117441 Professional Mental Health Counselor Norma Carrillo 0145031 Alcohol and Drug Counselor Pamela Lyn Carrillo 3926 Substance Abuse Associate Angela C. Carroll 4094 Alcohol Abuse Counselor Mary N. Carroll 0136721 Clinical Mental Health Counselor (LPCC) Greta C. Carson 3701 Clinical Mental Health Counselor (LPCC) Charles E. Carter 0114341 Alcohol and Drug Counselor Debra Ann Carter 0146601 Licensed Mental Health Counselor Debra Ann Carter 0076041 Clinical Mental Health Counselor (LPCC) Judy K. Carter 0133741 Clinical Mental Health Counselor (LPCC) Dianna Lynne Carver 0134321 Alcohol and Drug Counselor Stacey R. Carver 0080341 Marriage and Family Therapist Johnny G. Casady 005492 Clinical Mental Health Counselor (LPCC) Corrine Casarez-Turner Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1335 15th St. NW Albuquerque NM 87104 Bernalillo Active 01/31/1997 09/30/2014 1125 Headingly Av NW Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2014 8101 Broadway El Paso TX 79915 El Paso Active 10/15/2008 09/30/2014 700 Lindberg Ave., #3 Alamogordo NM 88310 Otero Active 11/21/2011 09/30/2013 2601 Sunset Place Las Cruces NM 88011 Dona Ana Active 06/30/1997 09/30/2013 3508 Elder Meadows Dr. NE Rio Rancho NM 87144 Sandoval Active 12/31/1997 09/30/2014 PO Box 201 Socorro NM 87801 Socorro Active 12/08/2010 09/30/2014 10613 Satellite NW Albuquerque NM 87114 Bernalillo Active 02/28/1997 09/30/2013 1501 Los Jardines Place NW Albuquerque NM 87104 Bernalillo Upgraded 06/06/2008 09/30/2012 1501 Los Jardines Place NW Albuquerque NM 87104 Bernalillo Active 01/24/2012 09/30/2013 1707 Westridge Rd Carlsbad NM 88220 Eddy Active 09/22/2004 09/30/2013 201 Pinnacle Dr. Rio Rancho NM 87124 Sandoval Active 07/23/2010 09/30/2013 2849 san elizario ct. Las Cruces NM 88007 Dona Ana Active 08/18/2010 09/30/2013 382 South Roosevelt Rd R1/2 Portales NM 88130 Roosevelt Active 03/23/2005 09/30/2014 2791 SR 108 Texico NM 88135 Curry Active 09/30/2000 09/30/2014 Page 49 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0148081 Maria G. Casarez 0139631 Temporary License Juan I. Casaus 0614 Licensed Mental Health Counselor Daniel L. Casias 3673 Marriage and Family Therapist Leonardita E. Casias 0131251 Alcohol and Drug Counselor Rodrick W. Cass 0147201 Clinical Mental Health Counselor (LPCC) Nora Cassar 1923 Licensed Mental Health Counselor Geri A. Cassidy 1792 Clinical Mental Health Counselor (LPCC) Manuela M. Castaneda 0118101 Professional Mental Health Counselor Lee Ryen Castell 1016 Clinical Mental Health Counselor (LPCC) Rudy R. Castellano 006176 Professional Mental Health Counselor Luisa Pastora Castellanos, Ph.D. 0094011 Clinical Mental Health Counselor (LPCC) Stephanie Jean Castillo 0095561 Substance Abuse Associate Claude Levi Castleberry 0139241 Substance Abuse Associate April Marie Casuse 3961 Marriage and Family Therapist Steve Cata Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5617 Salem Dr. El Paso TX 79924 El Paso Null and Void 03/20/2012 10/31/2012 822 Ponderosa NW Albuquerque NM 87107 Bernalillo Active 04/28/2011 09/30/2014 P.O. Box 306 886 Foxfire Rd Bayfield CO 81122 PO Box 838 San Juan Pueblo NM 87566 La Plata Active 09/30/1994 09/30/2014 Rio Arriba Active 06/30/1997 09/30/2013 1101 Avenida Del Sumbre Roswell NM 88203-2712 Chaves Active 04/09/2010 09/30/2013 7017 Vuelta Vistoso Santa Fe NM 87507 Santa Fe Active 02/13/2012 09/30/2013 PO Box 341 Las Vegas NM 87701 San Miguel Active 10/31/1994 09/30/2013 5545 Quesenberry Lane Las Cruces NM 88007 Dona Ana Retired 08/30/1994 09/30/2012 5660 Bald Eagle Rd NW Albuquerque NM 87114 Bernalillo Active 11/05/2008 09/30/2014 215 Alamo St. Las Vegas NM 87701 San Miguel Active 06/30/1994 09/30/2014 PO Box 13914 Las Cruces NM 88013-3914 Dona Ana Active 02/28/2003 09/30/2014 3850 Virden Street Farmington NM 87401 San Juan Expired 06/29/2006 09/30/2009 P.O. Box 7 Fort Stanton NM 88323 Lincoln Expired 08/16/2006 09/30/2009 7708 Midge St. NE Albuquerque NM 87109 Bernalillo Active 04/06/2011 09/30/2014 PO Box 312 Dulce NM 87528 Rio Arriba Active 07/31/1997 09/30/2013 Page 50 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0072821 Catherine M. O'Neill 0146741 CEU Provider Certificate Catherine P. Garcia 0471 CEU Provider Certificate Robert Lee Cathey 3663 Clinical Mental Health Counselor (LPCC) Robert Lee Cathey 5212 Alcohol and Drug Counselor Vicki Sue Caucutt 0138821 Alcohol and Drug Counselor Cara S. Cawood 0132541 Clinical Mental Health Counselor (LPCC) Cecilia Baca 0124581 CEU Provider Certificate Janet Susan Cedar 1793 Clinical Mental Health Counselor (LPCC) Henry R. Cellini 0091031 Clinical Mental Health Counselor (LPCC) Lisa Ann CeLosse 0104011 Marriage and Family Therapist Lisa Ann CeLosse 0137541 Clinical Mental Health Counselor (LPCC) Elizabeth Ceniceros 0148631 Clinical Mental Health Counselor (LPCC) Center for Family Evaluation and Treatment 0063161 CEU Provider Certificate Michele A. Centrella 0148431 Licensed Mental Health Counselor Cleo A. Cerno Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 1705 El Prado NM 87529 Taos Active 04/26/2004 04/30/2014 701 Stephen Moody St. SE #622 Albuquerque NM 87123 Bernalillo Active 01/26/2012 09/30/2013 340 Bristol Ct. Las Cruces NM 88001 Dona Ana Active 06/30/1994 09/30/2013 340 Bristol Ct. Las Cruces NM 88001 Dona Ana Active 02/28/1997 09/30/2013 PO Box 640 Bosque NM 87006 Valencia Active 07/31/2000 09/30/2014 1208 Indiana Street NE Albuquerque NM 87110 Bernalillo Active 03/24/2011 09/30/2014 5901 Zuni SE Albuquerque NM 87106 Bernalillo Active 06/02/2010 09/30/2013 1490 Camino Corrales Santa Fe NM 87505 Santa Fe Active 07/20/2009 09/30/2013 7200 Montgomery Blvd. NE Albuquerque NM 87109-1581 Bernalillo Active 09/30/1994 09/30/2013 P.O. Box 250 Chimayo NM 87522 Rio Arriba Active 01/27/2006 09/30/2013 P.O. Box 250 Chimayo NM 87522 Rio Arriba Active 05/24/2007 09/30/2014 2513 Lake Victoria Dr El Paso TX 79936 El Paso Active 01/24/2011 09/30/2014 5691 So. Redwood Road #16 Salt Lake City UT 84123 Salt Lake Active 03/30/2012 09/30/2013 6820 Luella Anne Dr. NE Albuquerque NM 87109 Bernalillo Expired 02/28/2002 09/30/2009 6108 Costa Brava Ave. NW Albuquerque NM 87114 Bernalillo Null and Void 03/28/2012 03/31/2013 Page 51 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0090471 Hilario Cervantez 4690 Substance Abuse Associate Liz Cervio 0141941 Marriage and Family Therapist Kathleen LuEllen Chabot 5335 Clinical Mental Health Counselor (LPCC) Hector Silva Chacon 0113321 Substance Abuse Associate Susan K. Chambers-Otero 0150771 Licensed Mental Health Counselor Susan K. Chambers-Otero 0208 Clinical Mental Health Counselor (LPCC) William W. Chambreau 0112731 Clinical Mental Health Counselor (LPCC) Gloria J. Champion 0098151 Clinical Mental Health Counselor (LPCC) Neslihan Gul Chandler 0141561 Professional Mental Health Counselor Abel M. Chapa 4766 Clinical Mental Health Counselor (LPCC) Michele B. Chapman 0103041 Licensed Mental Health Counselor Sara (Sally) Higgins Chapman 0135661 Clinical Mental Health Counselor (LPCC) Christopher B. Chappell 006253 Licensed Mental Health Counselor James E. Charles 0119271 Substance Abuse Associate Jennifer J. Charley Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 270 Segolily Bosque Farms NM 87068 Valencia Expired 02/27/2006 09/30/2009 25A Lime Kiln Road Lamy NM 87540 Santa Fe Active 01/31/1999 09/30/2014 160 Paseo De Corrales Corrales NM 87048 Sandoval Active 07/27/2011 09/30/2014 3616 Dakota St. NE Albuquerque NM 87110 Bernalillo Active 05/31/2000 09/30/2014 1918 Fort Union Dr. Santa Fe NM 87505 Santa Fe Upgraded 05/06/2008 09/30/2012 1918 Fort Union Dr. Santa Fe NM 87505 Santa Fe Active 06/14/2012 09/30/2013 1803 Louisiana N.E., Suite E-2 Albuquerque NM 87110 Bernalillo Active 05/31/1994 09/30/2014 2431 Vereda de Encanto Santa Fe NM 87505 Santa Fe Active 04/08/2008 09/30/2013 6705 Clear Spring Drive Fort Worth TX 76132 Tarrant Expired 11/07/2006 09/30/2009 2127 55th St. Lubbock TX 79412-2612 Lubbock Retired 07/14/2011 09/30/2012 912 Brazos Pl. SE Albuquerque NM 87123 Bernalillo Active 10/01/1996 09/30/2014 4908 El Picador Ct Rio Rancho NM 87124 Sandoval Active 04/20/2007 09/30/2014 2300 W. Alameda St. Unit B2 Santa Fe NM 87507 P.O. Box 363 Velarde NM 87582 Santa Fe Active 10/22/2010 09/30/2014 Rio Arriba Active 04/30/2002 09/30/2013 P.O. Box 911 Ramah NM 87321 McKinley Active 01/08/2009 09/30/2014 Page 52 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy General Address County License Status Issue Date Expiration Date 413 La Comunidad NW Albuquerque NM 87114 Bernalillo Active 01/26/2012 09/30/2013 9912 Sand Verbena Trail NE Albuquerque NM 87122 Bernalillo Active 11/27/2007 09/30/2013 3026 Montclaire Dr. NE Albuquerque NM 87110 Bernalillo Active 04/06/2006 09/30/2013 P.O. Box 3879 Gallup NM 87305 McKinley Active 07/05/2006 09/30/2013 4904 Goodrich, NE Albuquerque NM 87110 Bernalillo Active 09/05/2006 09/30/2013 4904 Goodrich, NE Albuquerque NM 87110 Bernalillo Active 10/19/2012 05/31/2013 1505 Walnut Drive Alamogordo NM 88310 Otero Active 12/30/2005 09/30/2014 1505 Walnut Drive Alamogordo NM 88310 Otero Active 08/23/2007 09/30/2014 218 Dolores SW Albuquerque NM 87121 Bernalillo Active 12/21/2006 09/30/2013 92 Martinez Road Edgewood NM 87015 Santa Fe Active 09/30/1994 09/30/2014 6504 Carney Ave. NW Albuquerque NM 87120 Bernalillo Active 09/29/2011 09/30/2013 11509 San Jacinto Avenue NE Albuquerque NM 87112 Bernalillo Active 09/20/2004 09/30/2013 472 63rd Street NW Albuquerque NM 87105 Bernalillo Active 02/01/2010 09/30/2013 737 Loma Pinon Loop NE Sandoval Active 03/06/2006 09/30/2013 Sandoval Active 06/29/2007 09/30/2014 License No. Licensee Name License Type 0146751 Charlotte M. Carlson, PhD 0109381 CEU Provider Certificate Kay D. Chase 0091981 Clinical Mental Health Counselor (LPCC) Manetta Dorthea Chase 0094151 Alcohol and Drug Counselor Ellen M. Chatterton 0096141 Professional Mental Health Counselor Carla Diana Chavez 0154311 Licensed Mental Health Counselor Carla Diana Chavez 0088881 Temporary License Carmen C. Chavez 0106881 Alcohol and Drug Counselor Carmen C. Chavez 0099351 Clinical Mental Health Counselor (LPCC) Carol A. Chavez 1926 Clinical Mental Health Counselor (LPCC) Charlene Chavez 0143601 Clinical Mental Health Counselor (LPCC) Claudia R. Chavez 0075981 Licensed Mental Health Counselor Colleen S. Chavez 0129261 Clinical Mental Health Counselor (LPCC) Cynthia D. Chavez 0090621 Licensed Mental Health Counselor Diane C. Chavez 0105091 Substance Abuse Associate Diane C. Chavez Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 Rio Rancho NM 87144 737 Loma Pinon Loop NE Rio Rancho NM 87144 Page 53 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4712 Edward Joseph Chavez 0150141 Professional Mental Health Counselor Elizabeth J. Chavez 0138101 Licensed Mental Health Counselor Eric J. Chavez 0155131 Licensed Mental Health Counselor Eric J. Chavez 3633 Temporary License Everett J. Chavez 0090901 Alcohol and Drug Counselor Gerald A. Chavez 006289 Clinical Mental Health Counselor (LPCC) Kimberly A. Chavez 0134021 Licensed Mental Health Counselor Maria C. Chavez 0129301 Alcohol and Drug Counselor Mario M. Chavez 0134681 Clinical Mental Health Counselor (LPCC) Paul T. Chavez 4071 Licensed Mental Health Counselor Pearl D. Chavez 0084041 Alcohol and Drug Counselor Pearl D. Chavez 0133621 Clinical Mental Health Counselor (LPCC) Rebecca Ann Chavez 0113091 Alcohol and Drug Counselor Rhoda Monique Chavez 2414 Marriage and Family Therapist Sandra L. Chavez Art Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 13879 Single Leaf CT Colorado Springs CO 80921 El Paso Active 03/31/2000 09/30/2014 390 E. 4th Ave. #B Chico CA 95926 Butte Active 05/24/2012 09/30/2013 13813 Paseo Del Sol NE Albuquerque NM 87123 Bernalillo Active 02/22/2011 09/30/2014 13813 Paseo Del Sol NE Albuquerque NM 87123 Bernalillo Active 11/28/2012 06/30/2013 P.O. Box 241 San Fidel NM 87049 Cibola Active 01/31/1997 09/30/2013 P.O. Box 4128 Albuquerque NM 87196 Bernalillo Active 03/13/2006 09/30/2013 3923 Rancho Gusto NW Albuquerque NM 87120 Bernalillo Active 01/31/2002 09/30/2013 702 Broadway SE #7 Albuquerque NM 87102 113 Springfield Drive Clovis NM 88101 Bernalillo Active 08/04/2010 09/30/2013 Curry Active 02/01/2010 09/30/2013 PO Box 7146 Albuquerque NM 87194 Bernalillo Active 08/30/2010 09/30/2013 119 La Media Rd. SW Albuquerque NM 87105 Bernalillo Active 03/31/1997 09/30/2013 119 La Media Rd. SW Albuquerque NM 87105 Bernalillo Active 07/13/2005 09/30/2014 301 South 2nd Street Santa Rosa NM 88435 Guadalupe Active 07/19/2010 09/30/2013 7820 Enchanted Hills Blvd. NE Ste A325 Rio Rancho NM 87144 1243 Sichler Rd, SE Los Lunas NM 87031 Sandoval Active 04/24/2008 09/30/2014 Valencia Active 09/30/1994 09/30/2014 Page 54 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0147501 Vanessa Chavez 0074361 Temporary License Virginia M. Chavez 0089181 Alcohol and Drug Counselor Carol Jean Cherich 0101181 Alcohol and Drug Counselor Carol Jean Cherich 1017 Clinical Mental Health Counselor (LPCC) Beth E. Cherin 4362 Clinical Mental Health Counselor (LPCC) Lisa K. Cherino 0126931 Alcohol and Drug Counselor Kelly Lee Chicas 0138451 Clinical Mental Health Counselor (LPCC) Cathy Chidester 0095871 Clinical Mental Health Counselor (LPCC) George K. Chiha 0149331 Clinical Mental Health Counselor (LPCC) Cynthia L. Chila 3947 Licensed Mental Health Counselor Michelle L. Childers-Beck 0070231 Alcohol and Drug Counselor Sydney L. Chilton 0132991 Professional Mental Health Counselor Nancy C. Choules 0095451 Licensed Mental Health Counselor Mary M Christensen 0098621 Professional Mental Health Counselor Mary M Christensen Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5155 Charl Ann Street El Paso TX 79932 El Paso Null and Void 02/28/2012 09/30/2012 P.O. Box 577 Hatch NM 87937 Dona Ana Active 07/13/2004 09/30/2013 1177 Cardenas Dr. SE #246 Albuquerque NM 87108 Bernalillo Retired 01/11/2006 09/30/2009 1177 Cardenas Dr. SE #246 Albuquerque NM 87108 Bernalillo Retired 02/21/2007 09/30/2008 HC 75, Box 68 Chama NM 87520 Rio Arriba Active 08/30/1994 09/30/2014 2217 Maverick St. Los Lunas NM 87031 Valencia Active 06/30/1998 09/30/2014 11137 Malaguena NE Albuquerque NM 87111 Bernalillo Active 10/23/2009 09/30/2013 409 S Kansas Roswell NM 88203 Chaves Active 03/08/2011 09/30/2014 9517 Tarleton St Dallas TX 75218 Dallas Active 08/24/2006 09/30/2013 709 SW Ave. J Seminole TX 79360 Gaines Active 04/19/2012 09/30/2013 2119 Tesoro Place Farmington NM 87401 San Juan Active 04/30/1997 09/30/2013 101 W. Morrow Street Raton NM 87740 Colfax Active 12/31/2003 09/30/2013 637 Garcia St. Santa Fe NM 87505 Santa Fe Active 06/16/2010 09/30/2013 1013 Plaza Del Sol Roswell NM 88203 Chaves Active 08/11/2006 09/30/2013 1013 Plaza Del Sol Roswell NM 88203 Chaves Active 11/29/2006 09/30/2013 Page 55 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153321 Mary M Christensen 4431 Clinical Mental Health Counselor (LPCC) Carol A. Christianson 3097 Professional Mental Health Counselor Christiana V.L. Christie 0105951 Clinical Mental Health Counselor (LPCC) Christiana V.L. Christie 0139821 Alcohol and Drug Counselor Pamela J. Christie 0094321 Licensed Mental Health Counselor Christopher J. Alexander Ph.D. 1075 CEU Provider Certificate Ursula J. Christopherson 0134371 Clinical Mental Health Counselor (LPCC) Chrysalis Counseling Services, LLC Kelly Brooks, LPCC CEU Provider Certificate Janice L. Chua 0146101 Licensed Mental Health Counselor Janice L. Chua 0085761 Marriage and Family Therapist Edward T. Church 0084321 Clinical Mental Health Counselor (LPCC) Rick L. Church 0140541 Clinical Mental Health Counselor (LPCC) Margo M. Churchill 0150971 Temporary License Margo M. Churchill 0155661 Temporary License Margo M. Churchill 0135891 Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1013 Plaza Del Sol Roswell NM 88203 Chaves Active 09/12/2012 09/30/2013 140 Cedar St. Santa Fe NM 87501 Santa Fe Active 03/31/2000 09/30/2013 3717 Platte Rd. Santa Fe NM 87507 Santa Fe Active 06/30/1999 09/30/2013 3717 Platte Rd. Santa Fe NM 87507 Santa Fe Active 07/25/2007 09/30/2014 32 Blackberry Lane Los Lunas NM 87031 Valencia Active 05/09/2011 09/30/2014 2320 Grande Blvd, SE Ste C Rio Rancho NM 87124 Sandoval Active 07/12/2006 09/30/2013 PO Box 2505 Corrales NM 87048 Sandoval Active 06/30/1994 09/30/2013 808 Manzano St, NE Albuquerque NM 87110 Bernalillo Active 11/01/2010 09/30/2013 65 Las Tusas Road Ranchos de Taos NM 87557 Taos Active 08/19/2010 09/30/2013 65 Las Tusas Road Ranchos de Taos NM 87557 Taos Active 01/10/2012 09/30/2013 1404 Marella St NE Albuquerque NM 87112 Bernalillo Active 09/06/2005 09/30/2014 PO Box 1242 Abiquiu NM 87510 Rio Arriba Active 07/21/2005 09/30/2014 112 Calle Paisano Santa Fe NM 87505 Santa Fe Null and Void 06/08/2011 07/31/2012 112 Calle Paisano Santa Fe NM 87505 Santa Fe Null and Void 06/21/2012 01/31/2013 112 Calle Paisano Santa Fe NM 87505 Santa Fe Active 12/14/2012 07/31/2013 Page 56 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0128371 Barbara Ann Cichosz 4709 Marriage and Family Therapist James Shelton Cioe 0054 Alcohol and Drug Counselor Joanne Cisneros-West 0118411 Clinical Mental Health Counselor (LPCC) Camille Cisneroz 0149591 Clinical Mental Health Counselor (LPCC) Charles W. Cissna 0150241 Clinical Mental Health Counselor (LPCC) Frances C. Ciulla 1482 Art Therapist Gina M. Civerolo 1919 Clinical Mental Health Counselor (LPCC) Sylvia Clahchischilli 0105631 Marriage and Family Therapist Seren Morris Clancy 0122221 Art Therapist Seren Morris Clancy 005494 Clinical Mental Health Counselor (LPCC) William M Clapp 0148651 Clinical Mental Health Counselor (LPCC) Clarity Counseling, Inc. 0101701 CEU Provider Certificate Aaron Parley Clark 0429 Substance Abuse Associate Carla Richea Clark 2415 Clinical Mental Health Counselor (LPCC) Elizabeth K. Clark Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 697 Silver City NM 88062 Grant Active 12/28/2009 09/30/2014 5016 La Bajada Albuquerque NM 87105 Bernalillo Active 01/31/2000 09/30/2013 Mail Room, 2844 E. Main St. Suite 106, PMB #121 Farmington NM 87402 PO Box 151 La Mesa NM 88044 San Juan Active 04/30/1994 09/30/2014 Dona Ana Active 11/18/2008 09/30/2014 1813 Cantera SE Rio Rancho NM 87124 Sandoval Active 04/26/2012 09/30/2013 706 Lincoln Ave. Las Vegas NM 87701 San Miguel Active 05/25/2012 09/30/2013 6608 Lockhaven Lane NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2014 444 North Elm Street Cortez CO 81321 Montezuma Active 09/30/1994 09/30/2013 1216 North 14th Street Boise ID 83702 Ada Active 07/17/2007 09/30/2014 1216 North 14th Street Boise ID 83702 Ada Active 04/06/2009 09/30/2013 P.O. Box 4942 Fairview NM 87533 Rio Arriba Active 03/31/2001 09/30/2014 5907 Alice NE Suite A Albuquerque NM 87110 Bernalillo Active 03/30/2012 09/30/2013 11 Constellation Dr. Tijeras NM 87059-8108 Bernalillo Retired 03/12/2007 09/30/2008 905 Cristanos Drive Bernalillo NM 87004 Sandoval Active 06/30/1994 09/30/2013 804 Glade Road Farmington NM 87401 San Juan Active 09/30/1994 09/30/2013 Page 57 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0140471 Ginna Hodges Clark 0096921 Clinical Mental Health Counselor (LPCC) Heather A. Clark 0077551 Clinical Mental Health Counselor (LPCC) Rebecca J. Clark 0874 Clinical Mental Health Counselor (LPCC) Teresa W. Clark 4076 Clinical Mental Health Counselor (LPCC) Victor Clark 0085671 Alcohol and Drug Counselor Darcy S. Clarke 0084701 Clinical Mental Health Counselor (LPCC) Darcy S. Clarke 0065081 Alcohol and Drug Counselor Robin E. Clarke 0094 Licensed Mental Health Counselor Rosemary E. Clarke 0079301 Clinical Mental Health Counselor (LPCC) James C. Clarkson 0096081 Alcohol and Drug Counselor Delphine Y. Clashin 0110981 Clinical Mental Health Counselor (LPCC) Sandra Class 0131701 Alcohol and Drug Counselor Claudia A. Raphael 1483 CEU Provider Certificate Ellen E. Clauss 0154891 Professional Mental Health Counselor Rochell D. Clay Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1344 A Pacheco Street Santa Fe NM 87505 Santa Fe Active 06/01/2011 09/30/2014 3608 Britt Street NE Albuquerque NM 87111 Bernalillo Active 09/25/2006 09/30/2013 25 Calle Del Pinon Sandia Park NM 87047 Bernalillo Active 11/30/2004 09/30/2013 19 Ryan Road Edgewood NM 87015 Santa Fe Active 07/31/1994 09/30/2014 5304 Edwards Drive NE Albuquerque NM 87111 Bernalillo Active 03/31/1997 09/30/2014 2203-535 Smithe St. Vancouver British Columbia, CD San Francisco Retired 09/02/2005 09/30/2012 2203-535 Smithe St. Vancouver British Columbia, CD San Francisco Retired 08/05/2005 09/30/2012 6313 S. Richfield Street Aurora CO 80016 Arapahoe Active 12/31/2002 09/30/2014 7709 Constitution Ave., NE Albuquerque NM 87110 Bernalillo Active 05/31/1994 09/30/2014 601 Menaul Blvd. NE #3703 Albuquerque NM 87107 Bernalillo Active 02/14/2005 09/30/2014 P.O. Box 127 Waterflow NM 87421 San Juan Active 09/01/2006 09/30/2013 4776 Saromi Lane Las Cruces NM 88011 Dona Ana Active 02/04/2008 09/30/2014 31 Bosque Loop Santa Fe NM 87508 Santa Fe Active 04/30/2010 09/30/2013 8831 Oakland Ct. NE Albuquerque NM 87122 Bernalillo Active 04/30/1996 09/30/2013 9200 Spain Rd. NE Albuquerque NM 87111 Bernalillo Active 11/16/2012 09/30/2014 Page 58 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0133121 Becky Jo Claycomb 0120291 Licensed Mental Health Counselor Natalie N. Clayshulte 1018 Marriage and Family Therapist Robert T. Clements 0089661 Clinical Mental Health Counselor (LPCC) Stephanie E. Clements 0141611 Licensed Mental Health Counselor Fern E Clemmer 2960 Clinical Mental Health Counselor (LPCC) Theresa A. Clewlow 0134931 Professional Mental Health Counselor Cash A. Clifton 0154061 Licensed Mental Health Counselor Cash A. Clifton 005523 Temporary License Stuart H. Cline 0089221 Art Therapist Stuart H. Cline 0109631 Alcohol and Drug Counselor Stuart H. Cline 0124291 Clinical Mental Health Counselor (LPCC) Daniel Keith Clothier 4746 Alcohol and Drug Counselor Krista B. Clower 0142491 Licensed Mental Health Counselor Lisa C. Clugston 0153031 Clinical Mental Health Counselor (LPCC) Karen Ann Cobb Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 118 Curren Clayton NM 88415 Union Active 06/23/2010 09/30/2013 1146 Steins Drive Las Cruces NM 88012 Dona Ana Active 02/06/2009 09/30/2013 921 Rex Carlsbad NM 88220 Eddy Active 06/30/1994 09/30/2014 1510 W. Calle Sur Apt. B Hobbs NM 88240 Lea Expired 02/02/2006 09/30/2009 P.O. Box 414 Cloudcroft NM 88317 Otero Active 07/15/2011 09/30/2014 PO Box 353 Ridgway CO 81432 Ouray Active 05/31/1998 09/30/2014 1100 W. 21st. Clovis NM 88101 Curry Active 09/14/2010 09/30/2014 1100 W. 21st. Clovis NM 88101 Curry Active 10/11/2012 05/31/2013 5319 Stream Stone Avenue NW Albuquerque NM 87114 Bernalillo Active 01/31/2004 09/30/2013 5319 Stream Stone Avenue NW Albuquerque NM 87114 Bernalillo Active 01/17/2006 09/30/2014 5319 Stream Stone Avenue NW Albuquerque NM 87114 Bernalillo Active 12/04/2007 09/30/2013 HC81 Box 6010 Questa NM 87556 Taos Active 07/09/2009 09/30/2013 1401 Fairway Terr. Clovis NM 88101 Curry Active 10/31/1998 09/30/2014 66 Griego Ct Corrales NM 87048 Sandoval Active 08/17/2011 09/30/2014 5809 Nugget Ave. NE Albuquerque NM 87111 Bernalillo Null and Void 08/30/2012 03/31/2013 Page 59 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0635 Steven M. Cobb 0145501 Marriage and Family Therapist William H. Cobb 0146881 Substance Abuse Associate Jerry Leandro Coca PhD., MA, NCC, LPCC, L.E.D. Clinical Mental Health Counselor (LPCC) Linda D. Coca 0105431 Licensed Mental Health Counselor Cecilie D. Cody 0636 Art Therapist Gloria M. Coequyt 1920 Clinical Mental Health Counselor (LPCC) Billye Nell Coey 1405 Clinical Mental Health Counselor (LPCC) David F. Coffey 0126561 Professional Mental Health Counselor Ernest L. Cofrances 1487 Clinical Mental Health Counselor (LPCC) Anne-Lise Cohen 0357 Professional Mental Health Counselor Chantal I. Cohen 1795 Clinical Mental Health Counselor (LPCC) Jacob Daniel Cohen 1796 Marriage and Family Therapist Jacob Daniel Cohen 0037 Clinical Mental Health Counselor (LPCC) Joshua Cohen 2206 Clinical Mental Health Counselor (LPCC) Diane H. Coker 1484 Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1302 Hall Drive Roswell NM 88201 Chaves Retired 06/30/1994 09/30/2009 1701 Silver Ave. SE Albuquerque NM 87106 Bernalillo Active 12/12/2011 09/30/2013 HC 80 Box 365 Las Vegas NM 87701 San Miguel Active 09/30/1994 09/30/2014 1404 Lupine Drive Rio Rancho NM 87144 Sandoval Active 01/30/2012 09/30/2013 903 5th Street Douglas AK 99824 Juneau Expired 07/13/2007 09/30/2008 416 Apodaca Hill RD Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2013 2405 Manzano Loop NE Rio Rancho NM 87144 Sandoval Retired 07/31/1994 09/30/2012 1274 NM 283 Las Vegas NM 87701 San Miguel Active 11/30/1994 09/30/2013 10 Altura Vista Santa Fe NM 87507 Santa Fe Active 10/08/2009 09/30/2013 54 Bauer Rd. Santa Fe NM 87506-0053 Santa Fe Expired 08/30/1994 09/30/2009 P.O. Box 444 Healy AK 99743 Denali Expired 06/30/1994 09/30/2001 2019 Galisteo Street Unit M-2 Santa Fe NM 87505 Santa Fe Active 02/28/1995 09/30/2013 2019 Galisteo Street Unit M-2 Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2014 2564 Camino Chueco Santa Fe NM 87505 Santa Fe Active 04/30/1994 09/30/2013 2704 Johnson ST. Las Cruces NM 88005 Dona Ana Active 05/31/1998 09/30/2014 Page 60 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2428 Patricia A. Colahan 0110811 Clinical Mental Health Counselor (LPCC) Carolynne Colby-Schmeltzer 2205 Clinical Mental Health Counselor (LPCC) Robert E. Colby 0096961 Clinical Mental Health Counselor (LPCC) Christina R. Cole 0084851 Substance Abuse Associate Michele Coleman 0098161 Marriage and Family Therapist Princess K. Coleman 0132661 Clinical Mental Health Counselor (LPCC) Rebecca E. Colla 0150801 Licensed Mental Health Counselor Rebecca E. Colla 0155571 Temporary License Rebecca E. Colla 0701 Temporary License Marguerite K. Collard 0154161 Clinical Mental Health Counselor (LPCC) Kandi Dell Collier 3470 Licensed Mental Health Counselor Kathryn A. Collier 1260 Alcohol and Drug Counselor Jeanne A. Collin-Smith 0079981 Clinical Mental Health Counselor (LPCC) Courtney Collins Lee 0145091 Licensed Mental Health Counselor Jessica R. Collins Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 327 Willow Road NW Los Ranchos de Albuquerque NM 87107 10516 Sierra Bonita Ave. NE Albuquerque NM 87111 Bernalillo Active 12/31/1999 09/30/2014 Bernalillo Active 01/29/2008 09/30/2014 4126 6th St. NW Albuquerque NM 87107 Bernalillo Active 12/31/1998 09/30/2013 110 Embdy RD Ruidoso NM 88345 Lincoln Expired 09/25/2006 09/30/2009 1025 Hermosa Dr. SE Albuquerque NM 87108 Bernalillo Active 08/08/2005 09/30/2014 1019 Virginia NE. Albuquerque NM 87110 Bernalillo Active 11/09/2006 09/30/2013 P.O. Box 290 Corrales NM 87048 Sandoval Active 06/09/2010 09/30/2013 P.O. Box 290 Corrales NM 87048 Sandoval Null and Void 06/15/2012 01/31/2013 P.O. Box 290 Corrales NM 87048 Sandoval Active 12/12/2012 07/31/2013 PO Box 4048 Silver City NM 88062 Grant Active 07/31/1994 09/30/2013 27 Jakes Place Tijeras NM 87059 Bernalillo Active 10/15/2012 09/30/2014 3000-B Milky Way Roswell NM 88203 Chaves Active 01/31/1997 09/30/2014 5340 Veronica Drive NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2014 4 Camino Calabasas Santa Fe NM 87506 Santa Fe Active 03/08/2005 09/30/2014 2148 Glorieta NE Albuquerque NM 87112 Bernalillo Active 11/29/2011 09/30/2013 Page 61 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0134261 Joe D. Collins 1488 Clinical Mental Health Counselor (LPCC) Patrick D. Collins 0134801 Clinical Mental Health Counselor (LPCC) Susan Autumn Collins 2424 Licensed Mental Health Counselor Valeria M. Colombatto-Brown 1489 Art Therapist Mary P. Colton 0187 Professional Mental Health Counselor Don C. Combs 005986 Clinical Mental Health Counselor (LPCC) Cecelia Louise Cometsevah 0145001 Licensed Mental Health Counselor Felicia C. Conde 0117371 Licensed Mental Health Counselor Kimberly Champion Conklan 0066222 Licensed Mental Health Counselor Scott D. Conner 0140421 Marriage and Family Therapist Connie M. Gould 0133831 CEU Provider Certificate Consciousness Couseling Servicses 0115971 CEU Provider Certificate Andrew A Conticelli 1135 Clinical Mental Health Counselor (LPCC) Diane Contreras 0113511 Clinical Mental Health Counselor (LPCC) Irma Contreras Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 243 alvarez Dr. El Paso TX 79932 El Paso Active 08/12/2010 09/30/2013 16 Lost Trail Road Roswell NM 88201 Chaves Active 07/31/1994 09/30/2014 1408 Tijeras Ave NE Albuquerque NM 87106 Bernalillo Active 09/03/2010 09/30/2013 23 Calle de Montanas Santa Fe NM 87507 Santa Fe Retired 10/31/1994 09/30/2009 PO Box 664 Placitas NM 87043 Sandoval Active 07/31/1994 09/30/2013 705 Lamar Ave. Las Cruces NM 88005 Dona Ana Active 06/30/1994 09/30/2013 10235 Casador del Oso NE Albuquerque NM 87111 Bernalillo Active 12/31/2001 09/30/2014 P.O. Box 3021 Roswell NM 88202 Chaves Active 11/21/2011 09/30/2013 1281 Segar St. Johns Island SC 29455 Charleston Active 10/14/2008 09/30/2014 7100 Eagle Mesa Rd. NE Albuquerque NM 87113 Bernalillo Active 04/30/2003 09/30/2014 2729 Gun Club Rd. SW Albuquerque NM 87105 Bernalillo Active 05/27/2011 09/30/2013 13301 Manitoba Dr NE Albuquerque NM 87111 Bernalillo Active 07/28/2010 09/30/2013 3 Desert Sky SE Albuquerque NM 87123 Bernalillo Active 08/12/2008 09/30/2014 792 Diane Ave. Las Vegas NM 87701 San Miguel Active 07/31/1994 09/30/2013 12114 St. Jude Ave. El Paso TX 79936 El Paso Active 05/08/2008 09/30/2014 Page 62 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0093791 Joanne C. Conway 1797 Substance Abuse Associate Dolores M. Conyers 2084 Professional Mental Health Counselor James F. Conyers 1078 Professional Mental Health Counselor Katherine C. Cook 3882 Clinical Mental Health Counselor (LPCC) Thomas M. Cook, Jr. 0125171 Alcohol and Drug Counselor Janasue Cooke 0107861 Licensed Mental Health Counselor Michael Richard Cooley 0093661 Clinical Mental Health Counselor (LPCC) Carrie V. Cooper 0134851 Clinical Mental Health Counselor (LPCC) Guy Dwayne Cooper 0136371 Clinical Mental Health Counselor (LPCC) James A. Cooper 0118231 Substance Abuse Associate Walter Lee Cooper 0070021 Alcohol and Drug Counselor Jackie Gail Cope 1798 Alcohol and Drug Counselor Jo Day Cope 0126321 Clinical Mental Health Counselor (LPCC) Ellen A. Coplen 3321 Clinical Mental Health Counselor (LPCC) Joan G. Coppens Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 316 E 3rd Ave Truth or Consequences NM 87901 Sierra Active 06/21/2006 09/30/2013 1020 N. Chaparral St. Bloomfield NM 87413 San Juan Active 01/31/1995 09/30/2013 1020 Chaparral St. Bloomfield NM 87413 San Juan Active 07/31/1994 09/30/2014 546 Harkle Road, STE. B Santa Fe NM 87505 Santa Fe Active 10/31/1994 09/30/2014 8232 Evangeline Court NE Albuquerque NM 87109-3010 Bernalillo Active 01/31/1997 09/30/2013 1212 Luna Street Las Cruces NM 88001 Dona Ana Active 08/10/2009 09/30/2013 P.O. Box 1193 Cuba NM 87013 Sandoval Active 09/28/2007 09/30/2013 1418 Camino Rael Hobbs NM 88240 Lea Active 06/20/2006 09/30/2013 2320 N. Kingsley Drive Hobbs NM 88240 Lea Active 09/09/2010 09/30/2014 501 Summer Ave NW Albuquerque NM 87102 Bernalillo Active 11/24/2010 09/30/2014 3320 N Dal Paso, Apt 9B Hobbs NM 88244 Lea Active 11/10/2008 09/30/2014 P.O. Box 1526 Tularosa NM 88352 Otero Expired 12/31/2003 09/30/2009 3614 Calle Pino NE Albuquerque NM 87111 Bernalillo Retired 07/31/1994 09/30/2012 1405 San Carlos SW Apt. 7 Albuquerque NM 87104 1216 Nakomis Dr., N.E. #L Albuquerque NM 87112 Bernalillo Active 09/24/2009 09/30/2013 Bernalillo Active 04/30/1997 09/30/2013 Page 63 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0637 Cynthia L. Corbett 0152801 Clinical Mental Health Counselor (LPCC) Sheryl L. Corchnoy 0152611 Marriage and Family Therapist Meghan L. Corcoran 3867 Temporary License Joann Cordova-Sanchez 0151461 Alcohol and Drug Counselor Laura L. Cordova 0075941 Licensed Mental Health Counselor Thomas R. Cordova 0154661 Professional Mental Health Counselor Thomas R. Cordova 0102871 Licensed Mental Health Counselor Lynn Ward Corella 3500 Professional Mental Health Counselor Colleen M. Coriz 4055 Alcohol and Drug Counselor Dorothy A. Coriz 4056 Alcohol and Drug Counselor Valentino Coriz 0139591 Alcohol and Drug Counselor Matthew T. Cornelius 2086 Licensed Mental Health Counselor Jill E. Cornell 0096671 Clinical Mental Health Counselor (LPCC) Judith A. Cornell 0147401 Clinical Mental Health Counselor (LPCC) Adela Corral-Greer Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9720 Desert Mesa Rd. SW Albuquerque NM 87121 Bernalillo Active 06/30/1994 09/30/2013 369 Montezuma Avenue #156 Santa Fe NM 87501 Santa Fe Active 08/29/2012 09/30/2013 3405 Calle Cuervo NW Apt. 12 14 Albuquerque NM 87114 Bernalillo Active 08/22/2012 01/31/2013 1617 East River Rd Belen NM 87002 Valencia Active 01/31/1997 09/30/2013 605 W. Lea St. Carlsbad NM 88220 Eddy Active 07/10/2012 09/30/2013 3505 Chelwood Park NE Albuquerque NM 87111 Bernalillo Expired 09/20/2004 09/30/2009 3505 Chelwood Park NE Albuquerque NM 87111 Bernalillo Active 11/05/2012 09/30/2014 PMB 146 Box 10001 Saipan MP 96950-8901 Saipan Active 04/16/2007 09/30/2014 12400 Montgomery Blvd. NE Apt. 109 Albuquerque NM 87109 Bernalillo Active 01/31/1997 09/30/2014 PO Box 441 Santo Domingo Pueblo NM 87052 Sandoval Active 02/28/1997 09/30/2013 PO Box 165 Santo Domingo Pueblo NM 87052 Sandoval Expired 04/30/1997 09/30/2009 P.O. Box 1625 Zuni NM 87327 McKinley Active 04/22/2011 09/30/2014 5621 Timberline NW Albuquerque NM 87120 Bernalillo Active 04/30/1997 09/30/2014 1501 N Dennis Ave Tucson AZ 85715 Pima Active 09/20/2006 09/30/2013 5801 Chippendale El Paso TX 79904 El Paso Active 02/24/2012 09/30/2013 Page 64 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0080671 Patricia Correa 0081291 Clinical Mental Health Counselor (LPCC) Sara L. Corry 0126551 Alcohol and Drug Counselor Sara L. Corry 0120671 Clinical Mental Health Counselor (LPCC) Amy L. Cortese 2666 Clinical Mental Health Counselor (LPCC) Deborah A. Cosper Hughs 0100401 Professional Mental Health Counselor Cynthia McLean Cotton 0142001 Clinical Mental Health Counselor (LPCC) Cottonwood Clinical Services, Inc. 0079771 CEU Provider Certificate Cottonwood de Tucson 4143 CEU Provider Certificate Nick Coumantaros 4940 Alcohol and Drug Counselor Larry Dennis Courter 2813 Professional Mental Health Counselor Sherry Courtney 0108941 Clinical Mental Health Counselor (LPCC) Janelle Kerrisha Cousins 0151531 Substance Abuse Associate Jamie D. Covington 0568 Temporary License Garry S. Cowles 2426 Clinical Mental Health Counselor (LPCC) Carol T. Cox Art Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8623 Bluff Springs Dr. NE Albuquerque NM 87113 Bernalillo Retired 04/01/2005 09/30/2008 515 Vassar Drive SE, Apt D Albuquerque NM 87106 Bernalillo Active 04/26/2005 09/30/2014 515 Vassar Drive SE, Apt D Albuquerque NM 87106 Bernalillo Active 10/07/2009 09/30/2013 5 Estambre Court Santa Fe NM 87508 Santa Fe Active 02/19/2009 09/30/2014 2 w cold springs ranch road Silver City NM 88061 Grant Active 07/31/1994 09/30/2014 2201 Ambassador Road NE Apt. 219 Albuquerque NM 87112 Bernalillo Active 01/31/2007 09/30/2014 511 E 20th Farmington NM 87401 San Juan Active 08/02/2011 09/30/2013 4110 W. Sweetwater Drive Tucson AZ 85745 Pima Expired 03/02/2005 09/30/2009 73 W. LaCrosse Avenue Lansdowne PA 19050 Delaware Retired 07/31/1997 09/30/2009 4050 La Purisima Dr. Las Cruces NM 88011 Dona Ana Active 12/31/1999 09/30/2014 4308 Carlisle Blvd. NE Suite 209 Albuquerque NM 87107 6220 Sweetwater Dr. NW Albuquerque NM 87120 Bernalillo Active 10/31/1994 09/30/2013 Bernalillo Expired 11/08/2007 09/30/2009 902 W. Riverside Dr. Carlsbad NM 88220 Eddy Active 07/13/2012 02/28/2013 310 Catron Santa Fe NM 87501 Santa Fe Active 09/30/1994 09/30/2014 8 Bel Plains Drive Fredericksburg VA 22405 Stafford Active 07/31/1994 09/30/2014 Page 65 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0124721 Richard Lee Cox 0146621 Clinical Mental Health Counselor (LPCC) Stacie R. Cox 3026 Alcohol and Drug Counselor John D. Coyle 0070141 Clinical Mental Health Counselor (LPCC) John J. Coyle, III 4758 Temporary License Robert Joseph Coyne, Sr. 0103221 Alcohol and Drug Counselor Jennifer Sultemeier Crabb 0155961 Professional Mental Health Counselor Ralph J. Crabbe 0093451 Temporary License Daniele Marie Crabtree 0118131 Clinical Mental Health Counselor (LPCC) Craig Pierce, Ph.D. 0066172 CEU Provider Certificate Daniel Craig, DOM 3465 Substance Abuse Associate Virginia J. Cramer 3614 Marriage and Family Therapist Virginia J. Cramer 006177 Alcohol and Drug Counselor David Lee Crane 4079 Clinical Mental Health Counselor (LPCC) Bernadine O. Crawford 4435 Clinical Mental Health Counselor (LPCC) Emory James Crawford Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 20401 N. 19th Avenue #2111 Phoenix AZ 85027 Maricopa Active 07/22/2009 09/30/2013 2660 2nd St. Unit 5 Santa Monica CA 90405 Los Angeles Active 01/24/2012 09/30/2013 60019 Cantina Acres Grants NM 87020 Cibola Active 02/28/1999 09/30/2014 12225 Modesto NE Albuquerque NM 87122 Bernalillo Active 02/17/2004 09/30/2004 2164 C 43rd St. Los Alamos NM 87544 Los Alamos Active 09/30/1998 09/30/2014 6232 Bridle St. NW Albuquerque NM 87120 Bernalillo Active 04/25/2007 09/30/2014 704 Lenox Ave. Las Cruces NM 88005 Dona Ana Active 01/02/2013 08/31/2013 4 CR 6054 Farmington NM 87401 San Juan Active 06/14/2006 09/30/2013 2612 Texas St., NE Albuquerque NM 87110 Bernalillo Active 11/06/2008 09/30/2013 622 Paulin St. Santa Fe NM 87505 Santa Fe Active 04/30/2003 09/30/2014 1500 Archuleta Drive NE Albuquerque NM 87112 Bernalillo Active 01/31/1998 09/30/2013 1500 Archuleta Drive NE Albuquerque NM 87112 Bernalillo Active 02/28/1997 09/30/2014 6246 A Quay Rd Z.5 San Jon NM 88434 Quay Active 05/31/2002 09/30/2013 3120 Dyer Las Cruces NM 88011 Dona Ana Active 12/31/1997 09/30/2013 5041 Alabama #102 El Paso TX 79930 El Paso Active 05/31/1998 09/30/2013 Page 66 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0144401 Randall C. Crawford 0123831 Clinical Mental Health Counselor (LPCC) Jodi Vanessa Creager 0096601 Clinical Mental Health Counselor (LPCC) Daniel Russell Cressman 0067772 Licensed Mental Health Counselor David P. Crichton 0147901 Alcohol and Drug Counselor Jennifer L. Crispo 0090741 Licensed Mental Health Counselor Ramona A. Crofoot 0151661 Licensed Mental Health Counselor Marianne Crom 0105591 Licensed Mental Health Counselor Susanne Crombie 0085831 Art Therapist Connie Croom 0134691 Clinical Mental Health Counselor (LPCC) Jessi Priscilla Cross 4121 Art Therapist Stephanie L. Crosser 0109641 Clinical Mental Health Counselor (LPCC) Lysa Lynn Crossett 0147151 Licensed Mental Health Counselor Lysa Lynn Crossett 0153191 Temporary License Lysa Lynn Crossett 0096901 Temporary License Michelle R. Croteau Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2002 Crawford Ave. Naples FL 34117 Collier Active 10/25/2011 09/30/2013 1151 N. Roadrunner Pkwy. #701 Las Cruces NM 88011 Dona Ana Active 06/18/2009 09/30/2013 P.O. Box 576 Ribera NM 87560 San Miguel Active 09/15/2006 09/30/2013 2511 US 70 East Morganton NC 28655 Burke Retired 08/31/2003 09/30/2008 329 Peaceful Meadows Dr. Rio Rancho NM 87144 Sandoval Active 03/19/2012 09/30/2013 380 Luane Rd. Toms River NJ 08755 Ocean Active 03/09/2006 09/30/2013 838 E. 3rd Ave. Durango CO 81301 La Plata Active 07/23/2012 09/30/2013 1711 B Siri Dharma Ct Santa Fe NM 87501 Santa Fe Active 07/17/2007 09/30/2014 PO Box 912 Taos NM 87571 Taos Active 09/06/2005 09/30/2014 PO Box 32394 Santa Fe NM 87594 Santa Fe Active 08/30/2010 09/30/2013 13204 Bighorn Rd. NE Albuquerque NM 87111 Bernalillo Active 12/31/1997 09/30/2013 3408 Ronda De Lechusas NW Albuquerque NM 87120 Bernalillo Active 12/05/2007 09/30/2013 3408 Ronda De Lechusas NW Albuquerque NM 87120 Bernalillo Null and Void 02/10/2012 09/30/2012 3408 Ronda De Lechusas NW Albuquerque NM 87120 Bernalillo Active 09/10/2012 04/30/2013 4425 Juan Tabo Blvd. NE Ste. 101 Albuquerque NM 87111 Bernalillo Active 09/25/2006 09/30/2013 Page 67 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0115191 Michelle R. Croteau 0155111 Alcohol and Drug Counselor Jim Croto 1799 Temporary License Mark W. Crouse 0139861 Clinical Mental Health Counselor (LPCC) Patricia W. Crow 0067672 Marriage and Family Therapist Daniel Lee Crowder 0155701 Alcohol and Drug Counselor Marilyn M. Crozier 0116661 Licensed Mental Health Counselor Bonnie Crusalis 0066072 Licensed Mental Health Counselor Lynn E. Cuellar 0139481 Marriage and Family Therapist Marie Lee Ann Cuellar 0153351 Temporary License Marie Lee Ann Cuellar 0100891 Temporary License Michael Dennis Cugini 005614 Clinical Mental Health Counselor (LPCC) Gail Cullen 1286 Alcohol and Drug Counselor Joanna S. Cummings 0092751 Clinical Mental Health Counselor (LPCC) Joanna S. Cummings 0151151 Alcohol and Drug Counselor Jane M. Cunha Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4425 Juan Tabo Blvd. NE Ste. 101 Albuquerque NM 87111 Bernalillo Active 07/14/2008 09/30/2014 P.O. Box 925 Las Vegas NM 87701 San Miguel Active 11/27/2012 06/30/2013 1349 San Juan Dr. Santa Fe NM 87505 Santa Fe Retired 01/31/1995 09/30/2009 PO Box 22248 Santa Fe NM 87502 Santa Fe Active 05/10/2011 09/30/2014 14 Mountain Laurel Los Lunas NM 87031 Valencia Active 08/31/2003 09/30/2014 4532 Palmyra Ave. NW Albuquerque NM 87114 Bernalillo Active 12/18/2012 09/30/2014 1520 Los Alamos SW Albuquerque NM 87104 Bernalillo Active 09/10/2008 09/30/2014 2349 Santo Domingo Avenue Las Cruces NM 88011 Dona Ana Active 03/31/2003 09/30/2014 1048 Miss Bev Avenue El Paso TX 79932 El Paso Null and Void 04/19/2011 03/30/2012 1048 Miss Bev Avenue El Paso TX 79932 El Paso Active 09/13/2012 03/31/2013 HC 74 Box 21105 El Prado NM 87529 Taos Active 02/12/2007 09/30/2014 125 Glenwood Avenue Point Lookout NY 11569 Nassau Retired 03/31/2001 09/30/2009 PO Box 88473 Steilacoom WA 98388 Pierce Retired 09/30/1994 09/30/2008 PO Box 88473 Steilacoom WA 98388 Pierce Active 05/11/2006 09/30/2014 4200 Via Arbolada #223 Los Angeles CA 90042 Los Angeles Active 06/25/2012 09/30/2013 Page 68 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0071521 Christy J. Cunico 0098791 Licensed Mental Health Counselor Kathryn M. Cunningham 0121641 Professional Mental Health Counselor Mary Camille Cunningham 0155891 Marriage and Family Therapist James Christopher Curry 0135831 Temporary License Margaret A. Curtin Rey-Bear 0150951 Clinical Mental Health Counselor (LPCC) Deborah L. Curtis 0472 Temporary License Mickey L. Curtis 3923 Clinical Mental Health Counselor (LPCC) Mickey L. Curtis 0115521 Alcohol and Drug Counselor Courtney Darlene Custer 4505 Licensed Mental Health Counselor Rose B. Custer 0092551 Alcohol and Drug Counselor Ivette Y. Cuzmar 0128951 Substance Abuse Associate Ivette Y. Cuzmar 0085741 Alcohol and Drug Counselor Barbara L Czinger 0127941 Alcohol and Drug Counselor Kathryn D'Antonio 3747 Licensed Mental Health Counselor Denise A. D'Coda Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 67662 Albuquerque NM 87193 Bernalillo Active 02/29/2004 09/30/2013 6900 N. Lakewood Avenue #2 Chicago IL 60626 Cook Expired 12/01/2006 09/30/2009 11820 El Solindo Ave. NE Albuquerque NM 87111 Bernalillo Active 03/16/2009 09/30/2013 1829 Kirby Ct. NE Albuquerque NM 87112 Bernalillo Active 12/26/2012 04/30/2013 3334 Linda Vista Ave. SE Albuquerque NM 87106 Bernalillo Active 10/29/2010 09/30/2014 3201 Caminito San Lucas Santa Fe NM 87507 Santa Fe Active 06/20/2012 01/31/2013 4249 Wildcat Canyon Rd. Las Cruces NM 88011 Dona Ana Active 07/31/1994 09/30/2014 4249 Wildcat Canyon Rd. Las Cruces NM 88011 Dona Ana Active 02/28/1997 09/30/2013 5808 Valerian Place NE Albuquerque NM 87111 Bernalillo Active 07/23/2008 03/31/2014 420 Cherokee Road NW Albuquerque NM 87107 Bernalillo Active 06/30/1999 09/30/2013 627 Cyan Ct. NW Albuquerque NM 87120 Bernalillo Expired 05/03/2006 09/30/2009 627 Cyan Ct. NW Albuquerque NM 87120 Bernalillo Active 01/20/2010 09/30/2013 2210 Miguel Chavez #1612 Santa Fe NM 87505 Santa Fe Active 09/06/2005 09/30/2014 P.O. Box 4512 Roswell NM 88202 Chaves Active 12/04/2009 09/30/2013 6925 Arrington Rd., SW Albuquerque NM 87105 Bernalillo Active 02/28/1997 09/30/2013 Page 69 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0083041 Denise A. D'Coda 0148101 Marriage and Family Therapist Rosemary C. Dacosta 0151971 Licensed Mental Health Counselor Michael Richard Dahlin 0116401 Clinical Mental Health Counselor (LPCC) Teresa Ann Dahlin 2441 Clinical Mental Health Counselor (LPCC) Cathy G. Dahlstedt 0143431 Clinical Mental Health Counselor (LPCC) Matthew Joseph Dahlsten 0141631 Clinical Mental Health Counselor (LPCC) Jane L. Dally 4106 Licensed Mental Health Counselor Heidrun M. Dalton 0147461 Professional Mental Health Counselor Heidrun M. Dalton 0135991 Temporary License Michelle Marie Daly 0147961 Clinical Mental Health Counselor (LPCC) Moira Wilkes Daly 0149731 Licensed Mental Health Counselor Moira Wilkes Daly 1287 Marriage and Family Therapist Linda M. Daney 3682 Clinical Mental Health Counselor (LPCC) Linda M. Daney 0068282 Alcohol and Drug Counselor Daniel K. Blackwood CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 6925 Arrington Rd., SW Albuquerque NM 87105 Bernalillo Active 06/22/2005 09/30/2014 655 Hood Rd. Rio Rancho NM 87124 Sandoval Active 03/21/2012 09/30/2013 516 S. Hemlock Roswell NM 88201 Chaves Active 08/09/2012 09/30/2013 109 South Bullard Silver City NM 88061 Grant Active 08/26/2008 09/30/2014 378 Pearl Drive Rio Rancho NM 87124 Sandoval Active 07/31/1994 09/30/2013 319 Solano Dr. NE Albuquerque NM 87108 Bernalillo Active 09/22/2011 09/30/2013 P.O. Box 3602 Durango CO 81302 La Plata Active 07/15/2011 09/30/2014 CMR 467, P.O. Box 4624 APO AE 09096 Active 07/31/1997 09/30/2014 CMR 467, P.O. Box 4624 APO AE 09096 Active 02/27/2012 09/30/2012 231 Camino Tres Arroyos Santa Fe NM 87507 Santa Fe Active 11/04/2010 09/30/2014 7508 Cutler NE Albuquerque NM 87110 Bernalillo Active 03/19/2012 09/30/2013 7508 Cutler NE Albuquerque NM 87110 Bernalillo Active 05/01/2012 09/30/2013 9303 N.Maple Ave #118 Fresno CA 93720 9303 N.Maple Ave #118 Fresno CA 93720 The Evolution Group, Inc. 218 Broadway SE Albuquerque NM 87102 Fresno Active 07/31/1994 09/30/2013 Fresno Active 01/31/1997 09/30/2013 Bernalillo Active 10/23/2003 09/30/2013 Page 70 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0132301 Carol B. Daniel-Winget 3454 Licensed Mental Health Counselor Robbie R. Daniels 2432 Alcohol and Drug Counselor Sherry K. Dansky, LPAT 1929 Art Therapist Deborah B. Dant 0120081 Clinical Mental Health Counselor (LPCC) Edward H Dapo III 0430 Substance Abuse Associate Nancy M. Darbro 4188 Clinical Mental Health Counselor (LPCC) Nancy M. Darbro 0097391 Alcohol and Drug Counselor Priscilla Antonia Darder 0083161 Marriage and Family Therapist Kelly Keith Darrow 0145911 Alcohol and Drug Counselor James C. Daulton 0123161 Licensed Mental Health Counselor Roy G. Daum 0135141 Clinical Mental Health Counselor (LPCC) David Ley Ph. D 0105151 CEU Provider Certificate David Sterling MED, LPCC 0091351 CEU Provider Certificate Matthew M David 0093461 Clinical Mental Health Counselor (LPCC) Nancy M. David Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 31235 Santa Fe NM 87594 Santa Fe Active 05/24/2010 09/30/2013 Box 862 Gallup NM 87305 McKinley Active 01/31/1997 09/30/2014 12601 Maypan Dr. Boca Raton FL 33428 Palm Beach Active 10/31/1994 09/30/2014 PO Box 301 Tesuque NM 87574 Santa Fe Active 09/21/1995 09/30/2013 1431 Somerset Dr. Albuquerque NM 87120 Bernalillo Active 02/03/2009 09/30/2013 P.O. Box 1156 Bernalillo NM 87004 Sandoval Retired 07/31/1994 09/30/2012 P.O. Box 1156 Bernalillo NM 87004 Sandoval Retired 01/31/1999 09/30/2012 605 Stonecrest Drive Savoy IL 61874 Champaign Expired 10/13/2006 09/30/2009 5109 27th Avenue NE Rio Rancho NM 87144 Sandoval Active 06/28/2005 09/30/2014 419 High Street SE Albuquerque NM 87102 Bernalillo Active 12/29/2011 09/30/2013 710 Corse Avenue Larned KS 67550 Pawnee Active 05/27/2009 09/30/2013 707 Broadway NE STE. 500 Albuquerque NM 87102 Bernalillo Active 09/21/2010 09/30/2013 200 W. 1st Suite 625 Roswell NM 88203 Chaves Expired 07/02/2007 09/30/2009 P.O. Box 207 Cerrillos NM 87010 Santa Fe Active 03/20/2006 09/30/2013 P.O. Box 207 Cerrillos NM 87010 Santa Fe Active 06/14/2006 09/30/2013 Page 71 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0095911 Lesley Kay Davidson-Boyd 0927 Professional Mental Health Counselor Charles A. Davidson 0259 Marriage and Family Therapist Donald E. Davidson 005632 Clinical Mental Health Counselor (LPCC) Ross W. Davidson 0503 Marriage and Family Therapist Penelope (Penny) J. Davies 2937 Clinical Mental Health Counselor (LPCC) Raymond J. Davies 0069262 Clinical Mental Health Counselor (LPCC) Veronica Z. Davila-Gutierrez 0113701 Professional Mental Health Counselor Veronica Z. Davila-Gutierrez 3196 Temporary License Patricia Davis Baca 4197 Clinical Mental Health Counselor (LPCC) Alice A. Davis 0078211 Professional Mental Health Counselor Brian Earl Davis 0150051 Professional Mental Health Counselor Brian Earl Davis 0139771 Clinical Mental Health Counselor (LPCC) Catherine C. Davis 0125201 Licensed Mental Health Counselor Donald Kennard Davis 0155141 Licensed Mental Health Counselor Donald Kennard Davis Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1315 Dartmouth NE Albuquerque NM 87106 Bernalillo Expired 08/28/2006 09/30/2009 7 Calle Sin Cuidado Tijeras NM 87059 Bernalillo Active 06/30/1994 09/30/2014 810 Theresa Drive Belen NM 87002 Valencia Active 06/30/1994 09/30/2013 44 Saddle Spur Trail Edgewood NM 87015 Santa Fe Active 06/30/2001 09/30/2014 P.O. Box 1202 Santa Cruz NM 87567 Santa Fe Active 06/30/1994 09/30/2013 2135 Mathew NW Albuquerque NM 87104 Bernalillo Active 02/22/1995 09/30/2013 1353 McKinley Avenue Alamogordo NM 88310 Otero Active 10/31/2003 09/30/2014 1353 McKinley Avenue Alamogordo NM 88310 Otero Active 05/19/2008 07/30/2009 115 Tierra del Sol Lp. Belen NM 87002 Valencia Active 08/31/1999 09/30/2014 PO Box 5900 Santa Fe NM 87502 Santa Fe Expired 12/31/1998 09/30/2009 10331 Mosca Ct. NW Albuquerque NM 87114 Bernalillo Active 01/03/2005 09/30/2013 10331 Mosca Ct. NW Albuquerque NM 87114 Bernalillo Active 05/18/2012 09/30/2013 1700 West Ella Drive Corrales NM 87048 Sandoval Active 05/04/2011 09/30/2014 3428 Black Hills Road, NE Albuquerque NM 87111-5406 Bernalillo Active 08/12/2009 09/30/2013 3428 Black Hills Road, NE Albuquerque NM 87111-5406 Bernalillo Active 11/28/2012 06/30/2013 Page 72 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0473 Donald Ray Davis 0015 Clinical Mental Health Counselor (LPCC) Genevieve A. Davis 0020 Clinical Mental Health Counselor (LPCC) Genevieve A. Davis 0144391 Marriage and Family Therapist Janice H Davis 0140881 Clinical Mental Health Counselor (LPCC) Jeana Megan Davis 1685 Clinical Mental Health Counselor (LPCC) Kathryn J. Davis 3544 Licensed Mental Health Counselor Lara E. Davis 1977 Alcohol and Drug Counselor Martha W. Davis 2844 Clinical Mental Health Counselor (LPCC) Martha W. Davis 2438 Marriage and Family Therapist Prudence K. Davis 0149921 Professional Mental Health Counselor Tillie S. Davis 0099731 Licensed Mental Health Counselor Amanda S. Davison 0082561 Marriage and Family Therapist Thomas S. Davison 0695 Professional Mental Health Counselor Vergal Charles Dawson 1494 Marriage and Family Therapist Carol L. Day Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 906 W. Jefferson Ave. Lovington NM 88260 Lea Active 06/30/2000 09/30/2013 P.O. Box 5132 Santa Fe NM 87502-5132 Santa Fe Active 06/30/1994 09/30/2013 P.O. Box 5132 Santa Fe NM 87502-5132 Santa Fe Active 04/30/1995 09/30/2014 501 S. Main Portales NM 88130 Roosevelt Active 10/21/2011 09/30/2013 2100 La Veta Drive NE Albuquerque NM 87110 Bernalillo Active 06/17/2011 09/30/2014 5629 Haring Rd. Doylestown PA 18901 Bucks Expired 08/30/1994 09/30/2001 1701 Sunshine Ter. S.E. #2 Albuquerque NM 87106-3924 Bernalillo Retired 02/28/1997 09/30/2012 1751 Old Pecos Trail, Suite G Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2013 1751 Old Pecos Trail, Suite G Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2014 6931 Ryabn Road Medina OH 44256 Medina Active 07/31/1994 09/30/2014 441 General Patch St. NE Albuquerque NM 87123 Bernalillo Active 05/11/2012 09/30/2013 10416 Rayner Dr. NW Albuquerque NM 87114 Bernalillo Active 01/08/2007 09/30/2013 8821 Democracy Rd. NE Albuquerque NM 87109 Bernalillo Active 06/09/2005 09/30/2014 Box 2480 Corrales NM 87048 Sandoval Active 12/31/1994 09/30/2013 3619 Morningside Drive Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 Page 73 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145851 Courtney R. Day 0291 Licensed Mental Health Counselor Dana K. Day 0147801 Clinical Mental Health Counselor (LPCC) Stephanie R. Day 1021 Temporary License Joe De Bonis 1081 Clinical Mental Health Counselor (LPCC) Elaine F. De Brine Howell 0132641 Clinical Mental Health Counselor (LPCC) Kathleen C. De Fronzo 0138121 Marriage and Family Therapist Kathleen C. De Fronzo 0153241 Clinical Mental Health Counselor (LPCC) Raul A. De La Cruz 1289 Substance Abuse Associate Joy R. De Pelichy 1802 Professional Mental Health Counselor Lisa J. De Rouen 005498 Professional Mental Health Counselor Robert E. Deacon 0143331 Clinical Mental Health Counselor (LPCC) Patricia A. Dean 0077991 Clinical Mental Health Counselor (LPCC) Robert W. Deane 0143561 Clinical Mental Health Counselor (LPCC) Deanna Cooper 0081101 CEU Provider Certificate Deb Boehme CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 820 Alcazar St. Grants NM 87020 Cibola Active 12/23/2011 09/30/2013 1103 N. Orchard Ave. Farmington NM 87401 San Juan Expired 08/30/1995 09/30/2009 PO Box 2991 Hobbs NM 88241 Lea Active 03/12/2012 03/31/2013 817 Monroe NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2013 P.O. Box 46 Socorro NM 87801-0046 Socorro Active 07/31/1994 09/30/2013 5139 Valjean Ave Encino CA 91436 Los Angeles Retired 06/07/2010 09/30/2013 5139 Valjean Ave Encino CA 91436 Los Angeles Retired 02/23/2011 09/30/2012 3115 El Camino Real # 102 Las Cruces NM 88007 Dona Ana Active 09/10/2012 09/30/2013 41 Camino El Alto NE Albuquerque NM 87123 Bernalillo Active 07/31/1994 09/30/2013 1805 Myrtle Ave. Las Cruces NM 88001 Dona Ana Active 08/30/1994 09/30/2014 1837 Cerros Colorados Santa Fe NM 87501 Santa Fe Active 09/30/2000 09/30/2013 618 16th Street Ext. Port Royal SC 29935-2214 Beaufort Active 09/19/2011 09/30/2013 2442 Cerrillos Rd. PMB#268 Santa Fe NM 87505 Santa Fe Active 12/15/2004 09/30/2013 1006 W. Municipal Farmington NM 87401 San Juan Active 09/29/2011 09/30/2013 785 Tramway Ln. NE Unit 5 Albuquerque NM 87122 Bernalillo Active 04/18/2005 09/30/2013 Page 74 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0118881 Kathleen M. DeBaun Woods 0070631 Marriage and Family Therapist Deborah Harris 0155491 CEU Provider Certificate Deborah Heikes 0080781 CEU Provider Certificate Debra Benalli 0155311 CEU Provider Certificate Linda S. Debuck 0074351 Licensed Mental Health Counselor Ruth O. DeBuck 0101681 Marriage and Family Therapist Anne McLaughlin Debuys 0147371 Licensed Mental Health Counselor Juniper M. Decker 0144741 Licensed Mental Health Counselor Amanda J. Deetz 0148481 Licensed Mental Health Counselor Amanda J. Deetz 0617 Marriage and Family Therapist Luigi J. DeGregorio 1791 Clinical Mental Health Counselor (LPCC) Jo Ann Del Curto 0076301 Clinical Mental Health Counselor (LPCC) Jo Ann Del Curto 0876 Alcohol and Drug Counselor Philip J. Del Prince 0639 Clinical Mental Health Counselor (LPCC) John B. Delamater Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2100 Yucca Street SE Rio Rancho NM 87124 Sandoval Active 12/18/2008 09/30/2014 222 E. Marcy Street, #9 Santa Fe NM 87501 Santa Fe Active 02/28/2003 09/30/2013 2913 Camino Del Bosque Santa Fe NM 87507 Santa Fe Active 12/07/2012 09/30/2013 28 Zanzibar Court Jemez Springs NM 87025 Sandoval Active 04/05/2005 09/30/2013 10617 Prospect Ave. NE Albuquerque NM 87112 Bernalillo Active 11/30/2012 09/30/2014 P.O. Box 1458 Edgewood NM 87015 Santa Fe Active 07/13/2004 09/30/2013 1815 San Felipe Circle Santa Fe NM 87505-3342 Santa Fe Active 03/09/2007 09/30/2014 933 Tomasita St. NE Albuquerque NM 87112 Bernalillo Active 02/24/2012 09/30/2013 8949 Guadalupe Trail NW Albuquerque NM 87114 Bernalillo Active 11/07/2011 09/30/2013 8949 Guadalupe Trail NW Albuquerque NM 87114 Bernalillo Active 03/29/2012 09/30/2013 2371/2 Cimarron Avenue Raton NM 87740 Colfax Active 06/30/1994 09/30/2013 P.O. Box 1993 Moriarty NM 87035 Torrance Active 12/31/1999 09/30/2013 P.O. Box 1993 Moriarty NM 87035 Torrance Active 09/30/2004 09/30/2013 1370 Riverside Ave. Boulder CO 80304 Boulder Active 09/30/1994 09/30/2014 15 Amigos Ln. Santa Fe NM 87508 Santa Fe Active 07/31/1994 09/30/2013 Page 75 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0005 Robert L. DelCampo 0150501 Marriage and Family Therapist Consuelo V. Deleon 0155521 Temporary License Consuelo V. Deleon 0128891 Temporary License Joyce C. Delgado 0089 Clinical Mental Health Counselor (LPCC) Robert Delich 2223 Clinical Mental Health Counselor (LPCC) Richard P. Deloia 0127081 Clinical Mental Health Counselor (LPCC) Wendy Deluca 0155301 Licensed Mental Health Counselor Wendy Deluca 0130541 Temporary License Julie L. DeMasseo 0136181 Licensed Mental Health Counselor Ellie M Dendahl 0150701 Licensed Mental Health Counselor Denette Varley 0090761 CEU Provider Certificate Christina Dennelly 0149881 Clinical Mental Health Counselor (LPCC) Karen A. Dennis 0087211 Licensed Mental Health Counselor Diana G. Denson 2789 Clinical Mental Health Counselor (LPCC) Phyllis M. Denton Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4811 Quail Run Avenue Las Cruces NM 88011 Dona Ana Active 04/30/1994 09/30/2013 2145 Westmoreland Las Cruces NM 88012 Dona Ana Null and Void 06/06/2012 01/31/2013 2145 Westmoreland Las Cruces NM 88012 Dona Ana Active 12/10/2012 07/31/2013 6638 E. Palm Ln Scottsdale AZ 85257 Maricopa Active 01/20/2010 09/30/2013 PO Box 3167 Canoncito NM 87026 Cibola Active 06/30/1994 09/30/2013 92 Moraga Street Belen NM 87002 Valencia Active 08/30/1994 09/30/2013 10152 Gutierrez NE Albuquerque NM 87111 Bernalillo Active 10/28/2009 09/30/2013 10152 Gutierrez NE Albuquerque NM 87111 Bernalillo Active 11/30/2012 06/30/2013 1208 Inca Road SW Rio Rancho NM 87124 Sandoval Active 03/18/2010 09/30/2013 P.O. Box 371 Tesuque NM 87574 Santa Fe Active 11/15/2010 09/30/2014 9901 Coda Pl. NE Albuquerque NM 87111 Bernalillo Active 06/14/2012 09/30/2013 2925 Plaza Blanca Santa Fe NM 87507 Santa Fe Retired 03/09/2006 09/30/2009 19110 Feild Cottage Ln. Richmond TX 77407 Fort Bend Active 05/10/2012 09/30/2013 11000 Spain road NE Suite E Albuquerque NM 87111 Bernalillo Active 10/13/2005 09/30/2014 11209 Oceola Road SE Albuquerque NM 87123 Bernalillo Active 07/31/1994 09/30/2013 Page 76 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2220 Paul W. Depetro 0074451 Marriage and Family Therapist Keli M. Dersch-Baldonado 0140101 Professional Mental Health Counselor Keli M. Dersch-Baldonado 0145491 Temporary License Gargee Desai-Purani 0072451 Clinical Mental Health Counselor (LPCC) Lucia DeSantis 2450 Clinical Mental Health Counselor (LPCC) Daisy Descheene 0091251 Professional Mental Health Counselor Desert Hills NM (YFCS) 3234 CEU Provider Certificate Lorraine B. DesGeorges 0754 Clinical Mental Health Counselor (LPCC) Anne M. Desiderio 3557 Clinical Mental Health Counselor (LPCC) Kathleen DesMaisons 4706 Alcohol and Drug Counselor Lawrence Elden Dettweiler 0088721 Clinical Mental Health Counselor (LPCC) Alexandra DeVere 0142021 Licensed Mental Health Counselor Diana Lightmoon 0142031 CEU Provider Certificate Diana S. Edwards 0138261 CEU Provider Certificate Diane K. Haug CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5124 Northern Trail NW Albuquerque NM 87120 Bernalillo Active 10/31/1994 09/30/2014 P.O. Box 541 Cedar Crest NM 87008 Bernalillo Active 07/14/2004 09/30/2013 P.O. Box 541 Cedar Crest NM 87008 Bernalillo Active 05/19/2011 07/31/2012 2926 West Royal Lane, #1097 Irving TX 75063 Dallas Active 12/12/2011 09/30/2013 406 Defiance Ave. Gallup NM 87301 McKinley Active 03/31/2004 09/30/2013 P.O. Box 545 Fort Wingate NM 87316 McKinley Active 03/31/1995 09/30/2014 5310 Sequoia NW Albuquerque NM 87120 Bernalillo Active 03/17/2006 09/30/2013 6488 Cerros Grandes Dr. Santa Fe NM 87507 Santa Fe Active 06/30/1999 09/30/2014 1516 Stanford Dr. NE Albuquerque NM 87106 Bernalillo Active 04/30/1995 09/30/2014 3805 Manchester Dr. NW Albuquerque NM 87107 Bernalillo Active 02/28/1997 09/30/2013 14 Melado Drive Santa Fe NM 87508 Santa Fe Active 02/28/1999 09/30/2014 1859 Brandon Drive Los Lunas NM 87031-8801 Valencia Active 12/22/2005 09/30/2014 29 Chapala Rd. Santa Fe NM 87508 Santa Fe Active 08/02/2011 09/30/2013 802 W. 7th St. Silver City NM 88061 Grant Active 08/02/2011 09/30/2013 39 Camino La Cueva Glorieta NM 87535 Santa Fe Active 02/28/2011 09/30/2013 Page 77 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0121021 Diane Spindler 5094 CEU Provider Certificate Dwight Edwin Dias 0152121 Alcohol and Drug Counselor Amanda A. Diaz 1340 Licensed Mental Health Counselor Elizabeth (Betsy) J. Diaz, Ph.D, LPCC 0148271 Clinical Mental Health Counselor (LPCC) Jessica R. Diaz 1690 Temporary License Michael J. Diaz 0119891 Clinical Mental Health Counselor (LPCC) Tod L. DiCecco 0065061 Clinical Mental Health Counselor (LPCC) Sahnta L. DiCesare-Pannutti 1691 Art Therapist Lois E. Dickerman 0065612 Professional Mental Health Counselor Dawn W. Dickerson 0136271 Clinical Mental Health Counselor (LPCC) Carol A Dieckmann 0099621 Clinical Mental Health Counselor (LPCC) Kathleen Margaret Dieterle 0099631 Marriage and Family Therapist Thomas Aquinas Dieterle 0085011 Marriage and Family Therapist David L. Dillon 3068 Clinical Mental Health Counselor (LPCC) Marguerite Dimas Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 32 Glenwood Road Rutland MA 01543 Worcester Expired 03/03/2009 09/30/2009 6429 Cathy NE Albuquerque NM 87109 Bernalillo Active 01/31/2000 09/30/2014 10421 Canyon Sage Dr. El Paso TX 79924 El Paso Active 08/14/2012 09/30/2013 P.O. Box 25071 Albuquerque NM 87125-0071 Bernalillo Active 01/31/1995 09/30/2014 8815 Templeton Ave. SW Albuquerque NM 87121 Bernalillo Active 03/22/2012 03/31/2013 P.O. Box 1092 Santa Fe NM 87504 Santa Fe Active 07/31/1994 09/30/2014 6614 Providence Rd. Charlotte NC 28226 Mecklenburg Active 01/22/2009 09/30/2013 23 Calle Blanca Corrales NM 87048 Sandoval Active 12/31/2002 09/30/2014 128 Barcelona Circle SW Albuquerque NM 87105 Bernalillo Expired 08/30/1994 09/30/2009 P.O. Box 50369 Albuquerque NM 87181 Bernalillo Active 02/28/2003 09/30/2014 2702 Placita Chueco Santa Fe NM 87505 Santa Fe Active 11/18/2010 09/30/2014 9112 Ridgefield Avenue NE Albuquerque NM 87109 Bernalillo Retired 01/03/2007 09/30/2008 9112 Ridgefield Avenue NE Albuquerque NM 87109 Bernalillo Retired 01/03/2007 09/30/2008 1602 Bosque Vista LP. Los Lunas NM 87031 Valencia Retired 08/19/2005 09/30/2012 3146 Plaza Blanca Santa Fe NM 87507 Santa Fe Active 05/31/1996 09/30/2014 Page 78 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3448 Marguerite Dimas 0140571 Alcohol and Drug Counselor Lisa C. Dines 4391 Temporary License Denise M. Dion 0036 Clinical Mental Health Counselor (LPCC) M. Diane Dipaolo 1495 Clinical Mental Health Counselor (LPCC) Mary M. Dissinger 3033 Clinical Mental Health Counselor (LPCC) Donna M. DiVincenzo 0153051 Clinical Mental Health Counselor (LPCC) Jamilah Dixon 005792 Substance Abuse Associate Jonathan D. Dixon 0085161 Professional Mental Health Counselor Nicole Marie Dixon 0133651 Alcohol and Drug Counselor Nicole Marie Dixon 0141471 Clinical Mental Health Counselor (LPCC) Tammy L. Dixon 2434 Licensed Mental Health Counselor Miriam E. Dlouhy 0080181 Clinical Mental Health Counselor (LPCC) Pamela M. Dobbie 0093891 Licensed Mental Health Counselor Felicia A. Dobbs 0092111 Licensed Mental Health Counselor Stefan Dobuszynski Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3146 Plaza Blanca Santa Fe NM 87507 Santa Fe Active 01/31/1997 09/30/2014 1329 Highway 395 PMB 161 Gardnerville NV 89410 13136 Verbena PL. NE Albuquerque NM 87112 Douglas Active 06/08/2011 01/31/2012 Bernalillo Active 05/31/1998 09/30/2013 1003 Yei Ave Gallup NM 87301 McKinley Active 08/30/1994 09/30/2014 40 Mountain Meadows Rd. Cimarron NM 87714 Colfax Active 04/30/1995 09/30/2013 237 Burma Drive NE Albuquerque NM 87123 Bernalillo Active 05/31/1996 09/30/2013 PO Box 2549 Espanola NM 87532 Rio Arriba Active 08/31/2012 09/30/2013 2376 Camino Capitan #4 Santa Fe NM 87505 Santa Fe Active 03/31/2001 09/30/2014 2315 Brookstone Drive NW Albuquerque NM 87120 Bernalillo Active 08/23/2005 09/30/2014 2315 Brookstone Drive NW Albuquerque NM 87120 Bernalillo Active 07/21/2010 09/30/2013 8525 Las Camas NE Albuquerque NM 87111 Bernalillo Active 07/13/2011 09/30/2014 1420 Fairway Terrace Clovis NM 88101 Curry Active 09/30/1994 09/30/2014 1000 Cordiva Pl. #525 Santa Fe NM 87505 Santa Fe Active 03/16/2005 09/30/2014 100 Scottsdale Clovis NM 88101 Curry Active 06/27/2006 09/30/2013 36 Loma Serena Santa Fe NM 87506 Santa Fe Active 04/18/2006 09/30/2013 Page 79 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0112871 Marie Elaine Dockter-Poncho 0877 Alcohol and Drug Counselor B. Alan Dodd 0064081 Professional Mental Health Counselor Leah A. Dodd 0083551 Licensed Mental Health Counselor Clara Rita Doddapaneni 0139981 Clinical Mental Health Counselor (LPCC) Kenneth Bart Dodson 1407 Substance Abuse Associate Olin W. Dodson 0120801 Clinical Mental Health Counselor (LPCC) Jonathon C. Doherty 0154221 Clinical Mental Health Counselor (LPCC) Kristin Margaret Doherty 1497 Alcohol and Drug Counselor Elizabeth Dolan 0122281 Clinical Mental Health Counselor (LPCC) Kris McVickar Dole 0092151 Clinical Mental Health Counselor (LPCC) Isabelle O. Dominguez 0093731 Professional Mental Health Counselor Howard Bradford Doremus 2215 Alcohol and Drug Counselor Mary B. Dorman 0432 Professional Mental Health Counselor William E. Dorman 0122691 Marriage and Family Therapist Jill Regina Dougherty Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 6 Cubero NM 87014 Cibola Active 04/14/2008 09/30/2014 1622 South Avenue A Portales NM 88130 Roosevelt Retired 08/30/1994 09/30/2009 1595 Ridgewood Drive Idaho Falls ID 83406 Bonneville Retired 08/31/2002 09/30/2009 10516 Royal Birkdale NE Albuquerque NM 87111 Bernalillo Active 07/05/2005 09/30/2014 1107 N. Wall Ave. Farmington NM 87401 San Juan Active 05/13/2011 09/30/2014 2258 Calle Pulido Santa Fe NM 87505 Santa Fe Active 11/30/1994 09/30/2013 3650 Morningstar Drive Unit 3706 Las Cruces NM 88011 4329 Del Prado Way Las Cruces NM 88011 Dona Ana Active 02/24/2009 09/30/2014 Dona Ana Active 10/18/2012 09/30/2014 P.O. Box 2110 Tijeras NM 87059 Bernalillo Active 04/30/1995 09/30/2013 2924 Avenida Nevada NE Albuquerque NM 87110 Bernalillo Active 04/08/2009 09/30/2013 P.O. Box 374 Mesilla NM 88046 Dona Ana Active 04/18/2006 09/30/2013 1640 Dogwood Street Las Cruces NM 88001 Dona Ana Active 06/21/2006 09/30/2013 2938 Fountain Ave. Las Cruces NM 88007 Dona Ana Expired 09/30/1994 09/30/2009 7811 Academy Trail NE Albuquerque NM 87109 Bernalillo Active 06/30/1994 09/30/2014 1800 35th St. SE Rio Rancho NM 87124 Sandoval Active 05/06/2009 09/30/2013 Page 80 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0148501 Kimberly S. Douglas 0091581 Temporary License Lea S Douglas 2443 Clinical Mental Health Counselor (LPCC) Jill T. Douglass 1205 Clinical Mental Health Counselor (LPCC) Colin R. Dow 2449 Professional Mental Health Counselor Kate C. Dow 0082691 Clinical Mental Health Counselor (LPCC) Joan F. Dowd 4918 Professional Mental Health Counselor Suzanne P. Dowiatt 0101171 Alcohol and Drug Counselor Eugene Debs Downer 0075701 Alcohol and Drug Counselor Patrick J. Downing 0139081 Licensed Mental Health Counselor Amanda S.M. Downs 0154451 Licensed Mental Health Counselor Amanda S.M. Downs 3828 Marriage and Family Therapist Elizabeth B. Downs 2836 Alcohol and Drug Counselor Jacqueline L. Doyle 0119871 Clinical Mental Health Counselor (LPCC) Dr. John R. Rinaldi 0131261 CEU Provider Certificate Cathann Dragone-Gutierrez Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1412 Cerrillos Rd. Santa Fe NM 87505 Santa Fe Active 03/29/2012 10/31/2012 1011 Flora Drive Santa Fe NM 87505 Santa Fe Active 03/24/2006 09/30/2013 201 Ricardo Road Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2013 8253 Rendham Way Sacramento CA 95829 Sacramento Expired 05/31/1996 09/30/2009 3340 Siringo Rd. Santa Fe NM 87505 Santa Fe Active 11/30/1994 09/30/2013 10704 Capricorn Place NW Albuquerque NM 87114 Bernalillo Active 06/15/2005 09/30/2014 14212 Mocho Ave. NE Albuquerque NM 87123 Bernalillo Retired 01/31/2000 09/30/2008 P.O. Box 975 Cloudcroft NM 88317 Otero Active 02/21/2007 09/30/2014 423 Dartmouth Drive SE Albuquerque NM 87106 Bernalillo Active 09/14/2004 09/30/2013 4236 Lyra Ct. Las Cruces NM 88011 Dona Ana Active 03/31/2011 09/30/2014 4236 Lyra Ct. Las Cruces NM 88011 Dona Ana Active 10/29/2012 09/30/2014 P.O. Box 80571 Portland OR 97280 Multnomah Active 03/31/1997 09/30/2014 Active 07/31/1994 09/30/2014 21 Alcatraz Ave. Belvedere CA 94920 P.O. Box 847 Bernalillo NM 87004 Sandoval Active 01/22/2009 09/30/2013 3324 Wilway Avenue NE Albuquerque NM 87106 Bernalillo Active 04/12/2010 09/30/2013 Page 81 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type General Address County License Status Issue Date Expiration Date 0125501 Kathrynn Lynn Drahn Santa Fe Active 08/24/2009 09/30/2013 0063412 Licensed Mental Health Counselor Juanita J. Drerup 2835 Vereda de Pueblo Santa Fe NM 87507 Sandoval Active 01/31/2003 09/30/2014 0131191 Alcohol and Drug Counselor Andrea Dresser 208 Cerro De Ortega Dr Rio Rancho NM 87124 Dona Ana Active 04/08/2010 09/30/2013 005696 Licensed Mental Health Counselor Toni K. Drew 146 Blacktail Deer Avenue Las Cruces NM 88007 Santa Fe Active 03/20/2006 09/30/2013 0125141 Clinical Mental Health Counselor (LPCC) Jani L Drewfs 1 Tano Escondido Santa Fe NM 87506 Sandoval Active 08/05/2009 09/30/2013 0094181 Clinical Mental Health Counselor (LPCC) Tamara Dubinsky 6517 Tahawash St. Cochiti Lake NM 87083 Santa Fe Active 07/05/2006 09/30/2013 2224 Clinical Mental Health Counselor (LPCC) Teresa A. Dubuque 266 Camino Del Olmo Santa Fe NM 87501 Bernalillo Active 07/31/1994 09/30/2014 1804 Professional Mental Health Counselor Guilford Dudley, III 7421 Gila NE Albuquerque NM 87109 Bernalillo Active 03/31/1995 09/30/2014 0119791 Clinical Mental Health Counselor (LPCC) James Edward Dudley 70 Easy St. Tijeras NM 87059 Valencia Active 01/21/2009 09/30/2013 0119801 Clinical Mental Health Counselor (LPCC) Katherine Denise Dudley 305 Ranchitos Road Bosque Farms NM 87068 Valencia Active 01/21/2009 09/30/2013 3049 Clinical Mental Health Counselor (LPCC) Andrea Duff 305 Ranchitos Bosque Farms NM 87068 Bernalillo Active 12/31/1998 09/30/2013 2219 Clinical Mental Health Counselor (LPCC) Katherine S. Duff 9709 Pebble Beach Dr. NE Albuquerque NM 87111 Taos Active 07/31/1994 09/30/2013 0162 Professional Mental Health Counselor Nelda S. Duffey HCR 78 Box 9125 Ranchos de Taos NM 87557 Bernalillo Active 04/30/1994 09/30/2014 0640 Clinical Mental Health Counselor (LPCC) Ann E. Duffy P.O. Box 1239 Tijeras NM 87059 Bernalillo Active 11/30/1994 09/30/2014 0114151 Clinical Mental Health Counselor (LPCC) James Hubert, Jr. Dumesnil 7304 Minehead NW Albuquerque NM 87120-3553 P.O. Box 1274 El Prado NM 87529 Taos Active 06/03/2008 09/30/2014 Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 Page 82 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0135001 Laura K. Dunaway 0106811 Licensed Mental Health Counselor Deborah S Dungan 0101411 Professional Mental Health Counselor Elizabeth A. Dunlap 0095 Clinical Mental Health Counselor (LPCC) Margaret E. Dunn-Snow 0117431 Art Therapist Deborah Marie DuPriest 0146541 Substance Abuse Associate ElizaBeth Duran-Lopez 0155691 Licensed Mental Health Counselor Cris M. Duran 0100141 Substance Abuse Associate Sammy Ray Duran 0073151 Licensed Mental Health Counselor Therese M. Duran 0093551 Alcohol and Drug Counselor Therese M. Duran 0090031 Clinical Mental Health Counselor (LPCC) Kim D DuTremaine 0126371 Alcohol and Drug Counselor Matthew J. Dutton 0126681 Licensed Mental Health Counselor Dixon E. Duval 0136571 Licensed Mental Health Counselor Barbara A. Dye 0146021 Clinical Mental Health Counselor (LPCC) Lisa M. Dye Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1715 Estero Corte Rio Rico AZ 85648-6318 Santa Cruz Active 09/15/2010 09/30/2013 PO Box 6266 Santa Fe NM 87502 Santa Fe Active 08/22/2007 09/30/2014 5323 Timberline Ave. NW Albuquerque NM 87120 Bernalillo Active 02/27/2007 09/30/2014 3312 SW 51ST. Fort Lauderdale FL 33312 Broward Active 05/31/1994 09/30/2013 408 Albor Circle, NE Rio Rancho NM 87124 Sandoval Active 10/15/2008 09/30/2014 7424 Umbria Dr. El Paso TX 79904 El Paso Active 01/23/2012 09/30/2013 1044 Cortez SE Los Lunas NM 87031 Valencia Active 12/18/2012 09/30/2014 4313 San Pedro NE, # B206 Albuquerque NM 87109 Bernalillo Active 01/22/2007 09/30/2013 460 Main Street NW Los Lunas NM 87031 Valencia Active 05/04/2004 09/30/2013 460 Main Street NW Los Lunas NM 87031 Valencia Active 06/16/2006 09/30/2013 3205 N Aspen Dr. Farmington NM 87401 San Juan Active 02/10/2006 09/30/2013 948 Galeras St. NW Albuquerque NM 87120 Bernalillo Active 09/25/2009 09/30/2013 2424 Vicic Road NW Albuquerque NM 87104 Bernalillo Active 10/14/2009 09/30/2013 P.O. Box 5044 Farmington NM 87449 Colfax Active 11/29/2010 09/30/2014 11930 Menaul Ave. NE #114F Albuquerque NM 87112 Bernalillo Active 01/04/2012 09/30/2013 Page 83 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005790 Lisa L Dykes-Harrell 0114971 Clinical Mental Health Counselor (LPCC) Kathryn I. Dziekan 1206 Clinical Mental Health Counselor (LPCC) Jake G. Eagle 0152431 Professional Mental Health Counselor Kimberly Ann Eagle 1216 Temporary License Sandra Earl 4348 Clinical Mental Health Counselor (LPCC) Marquita Earley 0077241 Alcohol and Drug Counselor William J. Earley 0714 Alcohol and Drug Counselor Susan L. Easley 4073 Professional Mental Health Counselor Eastern New Mexico University Counseling Program CEU Provider Certificate Joyce J. Eastman 0143731 Alcohol and Drug Counselor Trisha L. Ebbert 0152191 Licensed Mental Health Counselor David J. Ebeling 0146051 Licensed Mental Health Counselor Elizabeth A. Ebner 0107681 Clinical Mental Health Counselor (LPCC) Karen Eckert-Smith 0136521 Clinical Mental Health Counselor (LPCC) Ed Cardenas 0108011 CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 187 NM 88 Portales NM 88130 Roosevelt Active 03/31/2001 09/30/2014 20 W. Gutierrez Santa Fe NM 87506 Santa Fe Active 07/07/2008 09/30/2014 P.O. Box 817 Tesuque NM 87574 Santa Fe Active 12/31/1994 09/30/2014 9533 Arvilla Ave., NE Albuquerque NM 87111 Bernalillo Active 08/21/2012 03/31/2013 1813 Hopi Road Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2014 #726 Hwy 170 Farmington NM 87401 San Juan Active 01/31/1999 09/30/2014 726 Highway 170 Farmington NM 87401 San Juan Active 11/09/2004 09/30/2014 10 Alcalde Road Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 Station #25 ENMU Portales NM 88130 Roosevelt Active 10/02/2007 09/30/2013 1000 Charles Drive Rio Rancho NM 87144 Sandoval Active 07/31/1997 09/30/2013 147 S. Monte Rey White Rock NM 87544 Los Alamos Active 09/30/2011 09/30/2013 909 Tijeras Ave. NW #304 Albuquerque NM 87102 Bernalillo Active 08/15/2012 09/30/2013 4 Recado Road Santa Fe NM 87508 Santa Fe Active 01/06/2012 09/30/2013 3540 River Oaks Blvd Apt. 3305 Rochester Hills MI 48309 HCR 74 - 22025 El Prado NM 87529 Oakland Active 09/26/2007 09/30/2013 Taos Active 11/29/2010 09/30/2013 Page 84 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0089791 Ed Ramoth 1023 CEU Provider Certificate Emily M. Ederer 005961 Marriage and Family Therapist Yvonne R. Edge 1409 Alcohol and Drug Counselor Chelona I. Edgerly 0112671 Clinical Mental Health Counselor (LPCC) Lamarr D. Edgerson 0087351 Marriage and Family Therapist Pamela K. Edmondson 0090351 Clinical Mental Health Counselor (LPCC) Pamela K. Edmondson 0088861 Alcohol and Drug Counselor Aurelia Renee Edwards 0125281 Clinical Mental Health Counselor (LPCC) Diana Selsor Edwards 0100071 Clinical Mental Health Counselor (LPCC) Donna Suzanne Ehle 0098811 Licensed Mental Health Counselor Bette Jane Ehlert 0318 Licensed Mental Health Counselor Leanne M. Eichinger 0089761 Clinical Mental Health Counselor (LPCC) Arlene E. Einwalter 0117081 0979 Clinical Mental Health Counselor (LPCC) Elba True, LPCC, LADAC / Jemez Behavioral Health Program CEU Provider Certificate Jocelyn Elder Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 93454 Albuquerque NM 87199 Bernalillo Active 02/06/2006 09/30/2013 914 Ridgecrest Dr . SE Albuquerque NM 87108 Bernalillo Active 06/30/1997 09/30/2013 537 Hwy 70-W B-14 Alamogordo NM 88310 Otero Active 08/31/2002 09/30/2014 2316 Briar Lane Quincy IL 62305 Adams Retired 12/31/1994 09/30/2009 7109 Prospect Pl. NE Albuquerque NM 87110 Bernalillo Active 04/07/2008 09/30/2014 1001 Tramway Blve., NE #232 Albuquerque NM 87112 Bernalillo Active 10/18/2005 09/30/2014 1001 Tramway Blve., NE #232 Albuquerque NM 87112 Bernalillo Active 02/21/2006 09/30/2013 1501 35th Circle SE Rio Rancho NM 87124 Sandoval Active 12/30/2005 09/30/2014 802 W. 7th Street Silver City NM 88061 Grant Active 08/17/2009 09/30/2013 125A Camino De Las Crucitas Santa Fe NM 87501 Santa Fe Expired 01/17/2007 09/30/2009 4300 Bryn Mawr NE #18 Albuquerque NM 87107 Bernalillo Active 12/08/2006 09/30/2013 1340 Goldenrod Drive Iowa City IA 52246 Johnson Active 06/30/1994 09/30/2014 9405 W. Howard Avenue Apt 177 Greenfield WI 53228 Milwaukee Retired 02/03/2006 09/30/2009 P.O. Box 279 110 Sheep Spring Way Jemez Pueblo NM 87024 102 Camino Acote Santa Fe NM 87508 Sandoval Expired 10/06/2008 09/30/2009 Santa Fe Active 05/31/1996 09/30/2013 Page 85 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0087051 Jocelyn Elder 0154631 Alcohol and Drug Counselor Cheryl Ann Elfond 1805 Clinical Mental Health Counselor (LPCC) Judith A. Elfrink-Weissmueller 0120711 Professional Mental Health Counselor Blanca Elia 0145341 Licensed Mental Health Counselor Blanca Elia 0154741 Temporary License Blanca Elia 0066972 Temporary License Perrin A. Elisha 0153851 Professional Mental Health Counselor Elizabeth "Libby" Timmons 0076621 CEU Provider Certificate Elizabeth Prothro 1501 CEU Provider Certificate Ronald E. Ellington 0078231 Clinical Mental Health Counselor (LPCC) MaryAnn Borman Ellis 0085371 Licensed Mental Health Counselor Steven Michael Ellis 0103541 Clinical Mental Health Counselor (LPCC) Tami Sue Ellis 5115 Licensed Mental Health Counselor LaRae Ellison 0136241 Professional Mental Health Counselor Joseph L Elmore Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 102 Camino Acote Santa Fe NM 87508 Santa Fe Active 10/07/2005 09/30/2014 935 Southern Pines Dr. Endicott NY 13760 Broome Active 11/01/2012 09/30/2014 1487 Clark Road Santa Fe NM 87507 Santa Fe Active 07/31/1994 09/30/2013 PO Box 8085 Albuquerque NM 87198 Bernalillo Active 02/20/2009 09/30/2013 PO Box 8085 Albuquerque NM 87198 Bernalillo Null and Void 12/06/2011 10/31/2012 PO Box 8085 Albuquerque NM 87198 Bernalillo Active 11/09/2012 06/30/2013 1800 Fairburn Avenue, Suite 102 Los Angeles CA 90025 Los Angeles Active 06/30/2003 09/30/2014 PO Box 6758 Santa Fe NM 87502 Santa Fe Active 10/02/2012 09/30/2013 36 Camino Loma Seco Lamy NM 87540 Santa Fe Active 10/01/2004 09/30/2013 604 Hermosa Drive Roswell NM 88201-6541 Chaves Active 07/31/1994 09/30/2013 5445 Remington Rd. Las Cruces NM 88011 Dona Ana Active 01/03/2005 09/30/2013 200 Millwood #721 Maumelle AR 72113 Pulaski Active 08/31/2005 09/30/2014 307 E. 45th Court Tulsa OK 74105 Tulsa Retired 05/10/2007 09/30/2012 5317 Lovington Hwy. Hobbs NM 88240 Lea Active 03/31/2000 09/30/2013 1201 Paisano St NE Albuquerque NM 87112 Bernalillo Active 11/16/2010 04/30/2011 Page 86 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0056801 Mary Eloisa 0128391 Clinical Mental Health Counselor (LPCC) Elsa LaFlamme, PHD, LPCC, ATR 0128221 CEU Provider Certificate Cheryl A. Elyea 0109931 Substance Abuse Associate Floyd Eldon Embry 0150131 Licensed Mental Health Counselor Floyd Eldon Embry 0138291 Clinical Mental Health Counselor (LPCC) Emma Simmons 0073511 CEU Provider Certificate Juanita E. Encinias 0151791 Substance Abuse Associate Brian P. Enclade 2093 Temporary License Joan K. Eng 3648 Clinical Mental Health Counselor (LPCC) Joan K. Eng 0111831 Alcohol Abuse Counselor Paula J. Engle 0128071 Alcohol and Drug Counselor Sandra L. English 0094641 Clinical Mental Health Counselor (LPCC) Kay E Ennis 0130811 Licensed Mental Health Counselor Zela Kay Ensor 0145871 Printed: 01/15/2013 Substance Abuse Associate Envision New Mexico, Dept. of Pediatrics, University of New Mexico CEU Provider Certificate General Address County License Status Issue Date Expiration Date P.O. Box 5631 Santa Fe NM 87502 Santa Fe Active 08/31/2002 09/30/2013 101 Hospital Loop, Suite 215 Albuquerque NM 87109 Bernalillo Active 12/30/2009 09/30/2013 30 Lazy Lane Belen NM 87002 Valencia Active 12/21/2009 09/30/2013 604 County Road Y Farwell TX 79325 Parmer Active 12/17/2007 09/30/2013 604 County Road Y Farwell TX 79325 Parmer Active 05/24/2012 09/30/2013 1472 1/2 St. Francis Dr. Santa Fe NM 87505 Santa Fe Active 02/28/2011 09/30/2013 P.O. Box 125 Santa Rosa NM 88435 Guadalupe Active 05/25/2004 09/30/2013 14 Garden Park Circle NW Albuquerque NM 87107 Bernalillo Active 07/27/2012 11/30/2012 711 Black St. Silver City NM 88061 Grant Active 09/30/1994 09/30/2013 711 Black St. Silver City NM 88061 Grant Active 02/28/1997 09/30/2014 2004 Patton Road SW Albuquerque NM 87105 Bernalillo Active 03/05/2008 09/30/2014 11425 Malaguena Ln NE Albuquerque NM 87111 Bernalillo Active 12/14/2009 09/30/2013 2241 Entrada Del Sol, Apt. # 21 Las Cruces NM 88001 Dona Ana Expired 07/21/2006 09/30/2009 4008 Abbey Rd. Farmington NM 87402 San Juan Active 03/29/2010 09/30/2013 625 Silver Ave. SW, Ste.324 Albuquerque NM 87102 Bernalillo Active 12/28/2011 09/30/2013 Page 87 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0095521 Fae M. Epaloose 0135721 Licensed Mental Health Counselor Fae M. Epaloose 0139651 Clinical Mental Health Counselor (LPCC) Cheri L. Epstein 2226 Art Therapist Steven D. Epstein 0117991 Clinical Mental Health Counselor (LPCC) Lawrence D. Eres 0065712 Alcohol and Drug Counselor Brenda K. Erhard 0135581 Licensed Mental Health Counselor Olivia Eriacho 0154191 Alcohol and Drug Counselor Sandra Eriacho 0108251 Temporary License Vivian Eriacho 0073101 Temporary License Carolyn M. Erickson 0131431 Clinical Mental Health Counselor (LPCC) Patricia A. Erickson 0084951 Licensed Mental Health Counselor Stacy M. Ertle 1694 Clinical Mental Health Counselor (LPCC) Raul Escobedo-Osorio 0082901 Clinical Mental Health Counselor (LPCC) Elizabeth E. Escobedo 0147091 Substance Abuse Associate Elizabeth E. Escobedo Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 28 Zuni NM 87327 McKinley Expired 06/28/2006 09/30/2009 PO Box 28 Zuni NM 87327 McKinley Active 10/22/2010 09/30/2014 8560 Simpre Viva Road Ste. A San Diego CA 92154 San Diego Active 04/29/2011 09/30/2014 5515 Kettle NW Albuquerque NM 87120 Bernalillo Active 09/30/1994 09/30/2014 PO Box 374 Fairacres NM 88033 Dona Ana Active 10/30/2008 09/30/2014 P.O. Box 7882 Las Cruces NM 88006 Dona Ana Active 02/28/2003 09/30/2014 P.O. Box 1445 Zuni NM 87327 McKinley Active 10/20/2010 09/30/2014 P.O. Box 624 Ramah NM 87321 McKinley Active 10/16/2012 04/30/2013 P.O. Box 126 Pinehill NM 87357 Cibola Active 10/11/2007 05/30/2008 PO Box 6729 Santa Fe NM 87505 Santa Fe Active 05/04/2004 09/30/2013 1120 West Sixth Street Silver City NM 88061 Grant Active 04/16/2010 09/30/2013 6501 Cypress Point Way NE Albuquerque NM 87111 Bernalillo Active 08/16/2005 09/30/2014 2416 Vereda De Encanto Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2014 1306 South 1st. Street Lovington NM 88260 Lea Upgraded 06/20/2005 09/30/2012 1306 South 1st. Street Lovington NM 88260 Lea Active 02/09/2012 09/30/2013 Page 88 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0070971 Janet J. Escobedo 0148971 Clinical Mental Health Counselor (LPCC) Xarin Danao Escobedo 0139781 Licensed Mental Health Counselor Michael A. Espinosa, Jr. 0138981 Substance Abuse Associate Alma R. Espinoza 0140721 Substance Abuse Associate Archie L Espinoza 0154831 Substance Abuse Associate Cecillia A. Espinoza 0073521 Temporary License John Stan Espinoza 0071581 Alcohol and Drug Counselor Ralph E. Espinoza 0147051 Licensed Mental Health Counselor Ralph E. Espinoza 0153121 Clinical Mental Health Counselor (LPCC) Kristin R. Esquibel 0131341 Temporary License Michelle P. Esquibel 4762 Licensed Mental Health Counselor Veronica Esquibel 2463 Professional Mental Health Counselor Martha A. Esquivel 3280 Professional Mental Health Counselor Jack Estes 0154121 Clinical Mental Health Counselor (LPCC) Necia M. Ethridge Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3304 Don Quixote NW Albuquerque NM 87104 Bernalillo Active 02/29/2004 09/30/2013 2005 North Montana Ave. Roswell NM 88120 Quay Active 04/10/2012 09/30/2013 1413 Valencia Dr. NE Albuquerque NM 87110 Bernalillo Active 05/04/2011 09/30/2014 6605 San Francisco Dr. NE Albuquerque NM 87109 Bernalillo Active 03/30/2011 09/30/2014 PO Box 5148 Taos NM 87571 Taos Active 06/14/2011 09/30/2014 411 E. Park Hobbs NM 88240 Lea Active 11/15/2012 06/30/2013 P.O. Box 1214 Taos NM 87571 Taos Active 05/25/2004 09/30/2013 2061 Plantina Road SE Rio Rancho NM 87124 Sandoval Expired 02/29/2004 09/30/2009 2061 Plantina Road SE Rio Rancho NM 87124 Sandoval Active 02/07/2012 09/30/2013 439 S. 6th St. Santa Rosa NM 88435 Guadalupe Active 09/06/2012 04/30/2013 110 Upper San Pedro Rd Espanola NM 87532 Rio Arriba Active 04/13/2010 09/30/2013 413 South Pacific Street Las Vegas NM 87701 San Miguel Active 12/31/1999 09/30/2014 1511 West Reinken Av. Belen NM 87002 Valencia Active 07/31/1994 09/30/2013 P.O. Box 30103 Albuquerque NM 87190 Bernalillo Active 07/31/1998 09/30/2014 327 La Luz Dr. Taos NM 87571 Taos Active 10/15/2012 05/31/2013 Page 89 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2091 Elizabeth C. Etigson 2458 Clinical Mental Health Counselor (LPCC) Sandra G. Etigson 0069462 Clinical Mental Health Counselor (LPCC) Raylah Etlantus 0092811 Clinical Mental Health Counselor (LPCC) Luanita Marie Etsitty 0095591 Alcohol and Drug Counselor Linda A. Eubank 0095601 Clinical Mental Health Counselor (LPCC) William P. Eubank 0434 Clinical Mental Health Counselor (LPCC) Shelley Jo Euler-Beaudet 0144961 Clinical Mental Health Counselor (LPCC) Juliana Eulert 0097631 Marriage and Family Therapist Bonnie Jean Evans 0104231 Alcohol and Drug Counselor Bonnie Jean Evans 0115401 Clinical Mental Health Counselor (LPCC) Christina Evans 0115051 Clinical Mental Health Counselor (LPCC) James Roy Evans 0134831 Clinical Mental Health Counselor (LPCC) Sean David Evans 0148801 Clinical Mental Health Counselor (LPCC) Jerry R. Evaro 0106071 Printed: 01/15/2013 Temporary License Eve Loren Wedeen MA, ATR-BC, LPAT, LPCC CEU Provider Certificate General Address County License Status Issue Date Expiration Date 2616 Los Tomases Dr. NW Albuquerque NM 87107-1200 Bernalillo Active 07/31/1994 09/30/2013 1227 Lujan St. Santa Fe NM 87505 Santa Fe Active 04/30/1995 09/30/2014 P.O. Box 2563 Corrales NM 87048 Sandoval Active 12/31/2003 09/30/2013 P.O. Box 814 Montezuma Creek UT 84534 San Juan Active 05/16/2006 09/30/2013 2103 W. Main Farmington NM 87401 San Juan Active 08/16/2006 09/30/2013 2103 W. Main Farmington NM 87401 San Juan Active 08/16/2006 09/30/2013 12813 Bryce Ct. NE Albuquerque NM 87112 Bernalillo Active 05/31/1998 09/30/2014 8 Ladera Rd. Santa Fe NM 87508 Santa Fe Active 11/16/2011 09/30/2013 111 Big Sky Avenue SW Los Lunas NM 87031 Valencia Active 10/24/2006 09/30/2013 111 Big Sky Avenue SW Los Lunas NM 87031 Valencia Active 06/01/2007 09/30/2014 25 Palacio Road Santa Fe NM 87508 Santa Fe Active 07/21/2008 09/30/2014 607 W. Cochiti Ave. Hobbs NM 88240 Lea Active 07/11/2008 09/30/2014 610 E. 39th Street Farmington NM 87401 San Juan Active 09/08/2010 09/30/2014 6525 Gadwall Place Las Cruces NM 88012 Dona Ana Active 04/03/2012 03/31/2013 6666 4th Street NW Albuquerque NM 87107 Bernalillo Active 07/31/2007 09/30/2013 Page 90 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2025 Deborah A. Evenstad 3569 Clinical Mental Health Counselor (LPCC) Deborah A. Evenstad 0138561 Alcohol and Drug Counselor Lynley R. Ewen 4493 Temporary License Elizabeth T. Ewins 4511 Alcohol and Drug Counselor Elizabeth T. Ewins 0114111 Clinical Mental Health Counselor (LPCC) Heidi Jo Eynon 0131071 Clinical Mental Health Counselor (LPCC) Melissa Lynelle-Bohan Fagan 0073611 Clinical Mental Health Counselor (LPCC) Jennifer H. Failla 0148041 Clinical Mental Health Counselor (LPCC) Vivian L. Fain 0115481 Licensed Mental Health Counselor Maria Teresa Fairclough 0100081 Substance Abuse Associate Kristin J. Fairey 0113581 Licensed Mental Health Counselor Kristin J. Fairey 0110551 Alcohol and Drug Counselor Yolanda Fajardo-Vela 0074081 Clinical Mental Health Counselor (LPCC) Richard C. Fajardo 4488 Clinical Mental Health Counselor (LPCC) Linda A. Falen Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 206 Cherry Hill Lane Santa Teresa NM 88008-9428 Dona Ana Active 09/30/1994 09/30/2013 206 Cherry Hill Lane Santa Teresa NM 88008-9428 Dona Ana Active 02/28/1997 09/30/2013 13915 Grant Place NE Albuquerque NM 87123 Bernalillo Active 03/15/2011 03/30/2012 P.O. Box 718 Placitas NM 87043 Sandoval Retired 01/31/1999 09/30/2009 P.O. Box 718 Placitas NM 87043 Sandoval Active 12/31/1998 09/30/2013 5 Sands Lane Santa Fe NM 87507 Santa Fe Active 05/30/2008 09/30/2014 1721 Singletary Dr. NE Albuquerque NM 87112 Bernalillo Active 04/07/2010 09/30/2013 1880 Ponderosa Dr Jemez Springs NM 87025 Sandoval Active 06/01/2004 09/30/2013 3312 Rio Linda Dr. SW Albuquerque NM 87121 Bernalillo Active 03/20/2012 09/30/2013 11101 Colville Rd., SE Albuquerque NM 87123 Bernalillo Active 07/23/2008 09/30/2014 3708 Dulce Court Gallup NM 87301 McKinley Active 01/17/2007 09/30/2013 3708 Dulce Court Gallup NM 87301 McKinley Active 05/12/2008 09/30/2014 3609 Linkwood Clovis NM 88101 Curry Active 01/23/2008 09/30/2014 6884 Augusta Hills Drive Rio Rancho NM 87144 Sandoval Active 06/18/2004 09/30/2013 335 51st Street NW Albuquerque NM 87105-1707 Bernalillo Active 12/31/1999 09/30/2014 Page 91 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type General Address County License Status Issue Date Expiration Date 0103831 Families & Youth, Inc Dona Ana Active 05/21/2007 09/30/2013 0146511 CEU Provider Certificate Melissa J. Fannin Santa Fe Active 01/19/2012 08/31/2012 0146531 Temporary License Melissa J. Fannin 1320 S. Solano PO BOX 1868 Las Cruces NM 88004 1871 Camino Lumbre Santa Fe NM 87505 Santa Fe Active 01/20/2012 09/30/2012 1505 Temporary License Iris N. Fanning 1871 Camino Lumbre Santa Fe NM 87505 Bernalillo Active 07/31/1994 09/30/2013 0151871 Professional Mental Health Counselor Iris N. Fanning 7900 Morris Rippel NE Albuquerque NM 87122 Bernalillo Active 08/06/2012 09/30/2013 0103721 Clinical Mental Health Counselor (LPCC) Norma J. Faries 7900 Morris Rippel NE Albuquerque NM 87122 Bernalillo Active 05/16/2007 09/30/2014 1506 Alcohol and Drug Counselor Charlotte M. Farkas, PHD 323 Willow Rd. NW Los Ranchos NM 87107 Curry Deceased 08/30/1994 09/30/2012 3788 Clinical Mental Health Counselor (LPCC) Charlotte M. Farkas, PHD 1601 Fairway Terrace Clovis NM 88101 Curry Deceased 01/31/1997 09/30/2012 0179 Alcohol and Drug Counselor Gay A. Farley 1601 Fairway Terrace Clovis NM 88101 Los Alamos Expired 07/31/1994 09/30/2003 0096041 Clinical Mental Health Counselor (LPCC) Steven FastWolf 2800 Arizona Los Alamos NM 87544 McKinley Active 08/30/2006 09/30/2013 1939 Clinical Mental Health Counselor (LPCC) L. Suzanne Fate P.O. Box 1893 Crownpoint NM 87313 Bernalillo Active 09/30/1994 09/30/2013 0764 Clinical Mental Health Counselor (LPCC) Susan M. Fate 11201 Morocco Rd, NE Albuquerque NM 87111 Bernalillo Retired 07/31/1994 09/30/2012 0125151 Clinical Mental Health Counselor (LPCC) Alicia Catherine Faulds 2129 Marie Park NE Albuquerque NM 87112 Bernalillo Active 08/06/2009 09/30/2013 4397 Licensed Mental Health Counselor Victor Alan Faulkner 3305 Calle Cuervo NW Apt. 1225 Albuquerque NM 87114 San Juan Active 12/31/1999 09/30/2013 0100411 Alcohol and Drug Counselor Wayne D. Favreau 2636 E. 24th St. Farmington NM 87401 P.O. Box 630 La Madera NM 87539 Rio Arriba Active 01/31/2007 09/30/2014 Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 Page 92 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0140031 Andrew T. Fearnside 3505 Licensed Mental Health Counselor Davis T. Featherstone 1697 Alcohol and Drug Counselor Georgena Felicia 1698 Clinical Mental Health Counselor (LPCC) Georgena Felicia 0137001 Marriage and Family Therapist Felicidad y Paz, Ruth Oswood, MA, LPCC 0146201 CEU Provider Certificate Adriana R Felix 0435 Licensed Mental Health Counselor Helene K. Fellen 5080 Marriage and Family Therapist Helene K. Fellen 0145741 Clinical Mental Health Counselor (LPCC) Carol M. Felley 0155421 Licensed Mental Health Counselor Lindsay N. Fellows 0125231 Licensed Mental Health Counselor Tammy M. Fellows 0111791 Clinical Mental Health Counselor (LPCC) Michael J. Ferguson 0154951 Substance Abuse Associate Maya S. Fernandez 1290 Licensed Mental Health Counselor Vivian A. Fernandez 3524 Clinical Mental Health Counselor (LPCC) Robert H. Fernando Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1113 Bryn Mawr NE Albuquerque NM 87106 Bernalillo Active 05/17/2011 09/30/2014 1612 N. Kentucky Ave. Roswell NM 88201 Chaves Active 01/31/1997 09/30/2013 6837 Glendora Drive, NE Albuquerque NM 87109 Bernalillo Active 09/30/1994 09/30/2013 6837 Glendora Drive, NE Albuquerque NM 87109 Bernalillo Active 06/30/1994 09/30/2014 210 Guachpangue Espanola NM 87532-3424 Rio Arriba Active 12/30/2010 09/30/2013 321 Graceland Dr. SE Albuquerque NM 87108 Bernalillo Active 01/13/2012 09/30/2013 6709 Ruby NE Albuquerque NM 87109 Bernalillo Active 07/31/1994 09/30/2013 6709 Ruby NE Albuquerque NM 87109 Bernalillo Active 06/30/1999 09/30/2014 7204 Beck NE Albuquerque NM 87109 Bernalillo Active 12/21/2011 09/30/2013 10705 Malaguena Ln. NE Albuquerque NM 87111 Bernalillo Active 12/07/2012 09/30/2014 200 Rose Wood Dr. Clovis NM 88101 Curry Active 08/13/2009 09/30/2013 49 Estancia Vista Dr. Edgewood NM 87015 Santa Fe Active 03/04/2008 09/30/2014 538 Regina Rd. NW Albuquerque NM 87105 Bernalillo Active 11/20/2012 09/30/2014 416 El Dorado NW Albuquerque NM 87114 Bernalillo Active 07/31/1994 09/30/2014 P.O. Box 1148 Grants NM 87020 Cibola Active 03/31/1997 09/30/2014 Page 93 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0138391 Diane Ferrales 0680 Marriage and Family Therapist Mark A. Ferriegel 0073 Clinical Mental Health Counselor (LPCC) F. Jim Fickey, Jr. 0144951 Clinical Mental Health Counselor (LPCC) Lukas L. Ficklin 0105001 Clinical Mental Health Counselor (LPCC) Geraldine A. Fields (Gabaldon) 0154861 Clinical Mental Health Counselor (LPCC) Ellen F. Fields 3015 Clinical Mental Health Counselor (LPCC) Katherine Ann Fields 0104601 Clinical Mental Health Counselor (LPCC) Francine L. Filzen 0138581 Art Therapist Francine L. Filzen 0151771 Marriage and Family Therapist Andrea Lithgow Finch 0141791 Clinical Mental Health Counselor (LPCC) Laura F. Findlay 0133601 Licensed Mental Health Counselor Sylma Fine 0149601 Marriage and Family Therapist Sylma Fine 1291 Art Therapist Holly A. Finlay 4521 Clinical Mental Health Counselor (LPCC) James Robert Finley Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 930 Calle del Sol Las Cruces NM 88005 Dona Ana Active 03/02/2011 09/30/2014 7801 Academy Rd. NE, Bldg. 2 Ste. 200 Albuquerque NM 87109 Bernalillo Active 06/30/1994 09/30/2014 P.O. Box 9006 Santa Fe NM 87504 Santa Fe Active 04/30/1994 09/30/2013 2200 Echols St. Clovis NM 88101 Curry Active 11/16/2011 09/30/2013 P.O. Box 94165 Albuquerque NM 87199-4165 Bernalillo Active 06/27/2007 09/30/2014 HX 71 Box 1041 Capitan NM 88316 Lincoln Active 11/16/2012 09/30/2014 P.O. Box 27482 Albuquerque NM 87125 Bernalillo Active 05/31/1998 09/30/2013 18465 Pinehurst Rd. Bend OR 97701 Deschutes Retired 06/15/2007 09/30/2012 18465 Pinehurst Rd. Bend OR 97701 Deschutes Retired 03/15/2011 09/30/2012 10 Sky Ridge Drive Santa Fe NM 87508 Santa Fe Active 07/27/2012 09/30/2013 4633 Pomona Hills Ct. NE Rio Rancho NM 87144 Sandoval Active 07/21/2011 09/30/2013 P.O. Box 25601 Albuquerque NM 87125 Bernalillo Active 07/19/2010 09/30/2013 PO Box 25601 Albuquerque NM 87125 Bernalillo Active 04/27/2012 09/30/2013 10601 Ranchitos Rd. NE Albuquerque NM 87122 Bernalillo Active 08/30/1994 09/30/2013 9908 Claremont Ave. NE Albuquerque NM 87112 Bernalillo Active 02/28/1998 09/30/2013 Page 94 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy General Address County License Status Issue Date Expiration Date 551 W. Cordova Rd #649 Santa Fe NM 87505 551 W. Cordova Rd #649 Santa Fe NM 87505 3600 Cerrillos Rd. #1006A Santa Fe NM 87507 Santa Fe Active 10/30/2009 09/30/2013 Santa Fe Active 07/20/2009 09/30/2013 Santa Fe Active 03/14/2006 09/30/2013 P.O. Box 1205 Las Vegas NM 87701 San Miguel Active 08/30/1994 09/30/2014 3814 Trawood Alamogordo NM 88310 Otero Active 02/28/2003 09/30/2014 5717 Aspen Ave. NE Albuquerque NM 87110 Bernalillo Active 12/28/2007 09/30/2013 512 Lochness Lane Cary NC 27511 Wake Active 01/10/2012 09/30/2013 11913 Fulmer Dr. NE Albuquerque NM 87111-4055 Bernalillo Active 04/30/1997 09/30/2013 5529 Laredo Rd. NE Rio Rancho NM 87144 Sandoval Active 09/27/2005 09/30/2014 1740 H Dell Range Blvd. #108 Laramie Active Cheyenne WY 82009 1408 Manzano St. NE Albuquerque NM 87110 04/30/2001 09/30/2013 Bernalillo Active 10/03/2012 05/31/2013 10001 Coors Bypass #216 Albuquerque NM 87114 Bernalillo Active 04/05/2010 09/30/2013 2954 Plaza Blanca Santa Fe NM 87507 Santa Fe Active 09/30/1994 09/30/2013 7716 Trail Ridge Rd NE Albuquerque NM 87109 Bernalillo Active 03/25/2005 09/30/2014 35 Tennis Ct. NW Albuquerque NM 87120 Bernalillo Retired 08/31/1999 09/30/2009 License No. Licensee Name License Type 0127251 Keadron Tamara Finn 0124591 Clinical Mental Health Counselor (LPCC) Keadron Tamara Finn 0091091 Art Therapist Sharon P. Finn 1936 Clinical Mental Health Counselor (LPCC) C. Lynn Finnegan 0065662 Marriage and Family Therapist Stanley George Finnell 0110261 Clinical Mental Health Counselor (LPCC) Jennifer Lee Fiordelisi 0146081 Clinical Mental Health Counselor (LPCC) Lillian A. Fiorentino 3307 Clinical Mental Health Counselor (LPCC) David C. Fischer 0086701 Clinical Mental Health Counselor (LPCC) Michelle Fischer 005867 Professional Mental Health Counselor Selah B. Fischer 0153901 Alcohol and Drug Counselor Megan J. Fisk 0131031 Temporary License Peter C. Fisk 1941 Marriage and Family Therapist Niki L. FitzCallaghan 0080431 Clinical Mental Health Counselor (LPCC) Michael Fitzgerald 4877 Clinical Mental Health Counselor (LPCC) Tom Fitzpatrick Alcohol and Drug Counselor Printed: 01/15/2013 Page 95 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0090221 R. Jean Flannigan 0066022 Marriage and Family Therapist Iris Flechsenhaar 0205 Licensed Mental Health Counselor Judith K. Fleischman 0332 Clinical Mental Health Counselor (LPCC) Charles R. Fleming 0145681 Clinical Mental Health Counselor (LPCC) Emily Fleming 2662 Licensed Mental Health Counselor Anna Viola Fletcher 0095961 Professional Mental Health Counselor Shannon Leigh Fletcher 3802 Licensed Mental Health Counselor Carlos M. Flores 0107931 Alcohol and Drug Counselor Florian Birkmayer, MD 0139041 CEU Provider Certificate Florian Birkmayer, MD 0134141 CEU Provider Certificate Hunter Flournoy 0094141 Clinical Mental Health Counselor (LPCC) Thelma Flowers 005701 Substance Abuse Associate Anthony W. Floyd 0093311 Alcohol and Drug Counselor Kerry Karuna Fluhart-Negrete 2472 Clinical Mental Health Counselor (LPCC) Angelica Flynn-del Rio Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8908 Cherry Hill Rd. NE Albuquerque NM 87111 Bernalillo Active 02/15/2006 09/30/2013 1206 Vito Romero Rd. SW Albuquerque NM 87105-4613 Bernalillo Active 03/31/2003 09/30/2014 917 Parkland Cir. SE Albuquerque NM 87108 Bernalillo Active 06/30/1994 09/30/2013 1320 Camino Amparo NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2014 6101 Sequoia Rd. NW, Apt. N11 Albuquerque NM 87120 Bernalillo Active 12/21/2011 09/30/2013 P.O. Box 1858 Gallup NM 87305 McKinley Active 03/30/1995 09/30/2014 544 Mulberry Street Albuquerque NM 87106 Bernalillo Retired 08/29/2006 09/30/2009 5829 Pauline Street NW Albuquerque NM 87107 Bernalillo Active 06/30/1999 09/30/2013 UNM Dept of Psychiatry MSC 09 5030 Albuquerque NM 87131 2418 Miles Rd. SE Albuquerque NM 87106 Bernalillo Expired 10/02/2007 09/30/2009 Bernalillo Active 03/31/2011 09/30/2013 42 Oakwood St. Asheville NC 28806 Buncombe Active 08/11/2010 09/30/2013 1513 Chaco Avenue Grants NM 87020 Cibola Expired 07/05/2006 09/30/2009 1305 Camina Vega Farmington NM 87401 San Juan Active 07/31/2001 09/30/2013 P.O. Box 7325 Santa Cruz CA 95061 Santa Cruz Active 06/09/2006 09/30/2013 701 W. 10th Roswell NM 88201 Chaves Active 04/30/1995 09/30/2014 Page 96 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3834 Angelica Flynn-del Rio 0132621 Alcohol and Drug Counselor Tracey J. Folland 0148851 Licensed Mental Health Counselor Tracey J. Folland 0153371 Temporary License Tracey J. Folland 3100 Temporary License Leonard W. Follick 0146241 Clinical Mental Health Counselor (LPCC) Maria L Fonseca- Pineda 0152051 Temporary License Maria L Fonseca- Pineda 0070811 Temporary License Mary F. Forbes 0095291 Clinical Mental Health Counselor (LPCC) Christina J. Forde 0144971 Professional Mental Health Counselor Christina J. Forde 0132941 Clinical Mental Health Counselor (LPCC) Patricia Diane Fordyce-Montanari 0002 Licensed Mental Health Counselor Paul David Fornell 0113011 Clinical Mental Health Counselor (LPCC) Jeanine M Forsythe 0931 Clinical Mental Health Counselor (LPCC) Stephen L. Fortess 0090381 Clinical Mental Health Counselor (LPCC) Charlette A Forteza-Bach Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 701 W. 10th Roswell NM 88201 Chaves Active 06/30/1997 09/30/2014 1117 Girard SE, Apt. #1 Albuquerque NM 87106 Bernalillo Active 06/07/2010 09/30/2013 1117 Girard SE, Apt. #1 Albuquerque NM 87106 Bernalillo Null and Void 04/06/2012 11/30/2012 1117 Girard SE, Apt. #1 Albuquerque NM 87106 Bernalillo Active 09/13/2012 04/30/2013 520 14th Street NW Albuquerque NM 87104 Bernalillo Active 11/30/1995 09/30/2014 2820 Tierra Chica Way El Paso TX 79938 El Paso Null and Void 01/13/2012 08/31/2012 2820 Tierra Chica Way El Paso TX 79938 El Paso Active 08/14/2012 03/31/2013 PO Box 366 Campbell CA 95009 Santa Clara Active 02/29/2004 09/30/2013 1804 Lester Ave. NE Albuquerque NM 87112 Bernalillo Active 08/08/2006 09/30/2013 1804 Lester Ave. NE Albuquerque NM 87112 Bernalillo Active 11/18/2011 09/30/2013 P.O. Box 1362 Aztec NM 87410 San Juan Active 06/15/2010 09/30/2013 PO Box 4159 Albuquerque NM 87196 Bernalillo Active 04/30/1994 09/30/2014 7417 Arroyo Del Oso NE Albuquerque NM 87109 Bernalillo Active 04/17/2008 09/30/2014 P.O. Box 0046 Cedar Crest NM 87008 Bernalillo Active 06/30/1994 09/30/2013 37 PASEO DEL PINON Santa Fe NM 87508 Santa Fe Expired 02/23/2006 09/30/2009 Page 97 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0134011 Cynthia K. Fossan 0140981 Clinical Mental Health Counselor (LPCC) Aaron B. Foster 3622 Licensed Mental Health Counselor Donald W. Foster 1508 Alcohol and Drug Counselor Helaine E. Foster 0097701 Clinical Mental Health Counselor (LPCC) Katharine Irene Foster 0361 Professional Mental Health Counselor Martha Foster 1292 Clinical Mental Health Counselor (LPCC) Mary M. Foster 0143531 Marriage and Family Therapist Foundations Counseling 0145141 CEU Provider Certificate Four Corners Training Consortium 0109401 CEU Provider Certificate Four Winds Recovery Center Inc. 0125811 CEU Provider Certificate Claudette M. Foutz 3885 Alcohol and Drug Counselor Susan Adele Foutz 0110081 Alcohol and Drug Counselor James S. Fowler 0122241 Clinical Mental Health Counselor (LPCC) Margaret Suzanne Fowler 0147711 Clinical Mental Health Counselor (LPCC) Fox Therapy Inc. CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4601 Forrest Drive, Apt 302 Carlsbad NM 88220 Eddy Active 08/02/2010 09/30/2013 9 Wild Flowers Ct. Placitas NM 87043 Sandoval Active 06/21/2011 09/30/2014 5400 Hillen Drive Oakland CA 94619 Alameda Active 01/31/1997 09/30/2014 2322 Anna Jean Court Santa Fe NM 87505 Santa Fe Active 12/31/1999 09/30/2014 1103 Nancy Beth Drive Kerrville TX 78028 Kerr Expired 10/26/2006 09/30/2009 849 Trading Post SE Albuquerque NM 87123 Bernalillo Retired 06/30/1994 09/30/2009 1503 Llano St. #A Santa Fe NM 87505 Santa Fe Active 10/31/1994 09/30/2014 805 W. 6th St. Silver City NM 88061 Grant Active 09/29/2011 09/30/2013 PO Box 1668 Farmington NM 87499 San Juan Active 11/30/2011 09/30/2013 PO Box 1830 Farmington NM 87499 San Juan Active 11/29/2007 09/30/2013 3500 Camino La Tierra Gallup NM 87301 McKinley Active 09/09/2009 09/30/2013 1304 Mesa Verde Farmington NM 87401 San Juan Expired 01/31/1997 09/30/2009 2012 Pinecone Way Las Cruces NM 88012 Dona Ana Active 12/18/2007 09/30/2013 869-16 Springs Canyon Road Cloudcroft NM 88317 Otero Active 04/08/2009 09/30/2013 216 9th St. NW Albuquerque NM 87102 Bernalillo Active 03/02/2012 09/30/2013 Page 98 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0110631 Marci K. Fox-Bonilla 0146431 Licensed Mental Health Counselor Melissa M. Fox 0105021 Clinical Mental Health Counselor (LPCC) Tova Lynne Fox 0103021 Clinical Mental Health Counselor (LPCC) Tova Lynne Fox 0147271 Alcohol and Drug Counselor Cha T. Foxhall Mabry 3699 Clinical Mental Health Counselor (LPCC) Bobbi J. Frady 0134441 Alcohol and Drug Counselor Laura J. Fragua-Cota 3781 Licensed Mental Health Counselor Frank F. Fragua, Sr. 0072631 Alcohol and Drug Counselor Myrna B. Fraker 0074431 Clinical Mental Health Counselor (LPCC) France Sarradon 0154871 CEU Provider Certificate Diana Angelia Frances 0089751 Licensed Mental Health Counselor Jerilyn Grout Franchell 006277 Marriage and Family Therapist Peggy Ann Francis 0133491 Alcohol and Drug Counselor Juanita R. Francisco-Yanc 2094 Clinical Mental Health Counselor (LPCC) Edelmira Franco Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7412 Peregrine Rd. NW Albuquerque NM 87113 Bernalillo Active 01/28/2008 09/30/2013 2900 Vista Del Rey NE #35A Albuquerque NM 87112 3301-R Coors Blvd. NW, # 237 Albuquerque NM 87120 Bernalillo Active 01/19/2012 09/30/2013 Bernalillo Active 06/27/2007 09/30/2014 3301-R Coors Blvd. NW, # 237 Albuquerque NM 87120 Bernalillo Active 04/20/2007 09/30/2014 7530 Calle Redondo Santa Fe NM 87505 Santa Fe Active 02/15/2012 09/30/2013 821 Meadow Lake Road Los Lunas NM 87031 Valencia Active 02/28/1997 09/30/2013 P.O. Box 612 Jemez Pueblo NM 87024 Sandoval Active 08/23/2010 09/30/2013 Mission Rd., P.O. Box 207 Jemez Pueblo NM 87024 Sandoval Expired 07/31/1997 09/30/2009 2403 San Mateo NE, S-5 Albuquerque NM 87111 Bernalillo Active 04/22/2004 09/30/2013 6501 4th Street NW, Ste. E-3 Albuquerque NM 87107 Bernalillo Active 10/08/2008 09/30/2013 1042 Camino De Chelly Santa Fe NM 87505 Santa Fe Active 11/16/2012 09/30/2014 4340 Los Metates NW Albuquerque NM 87120 Bernalillo Active 02/03/2006 09/30/2013 P.O. Box 2742 Shiprock NM 87420 San Juan Active 08/31/2002 09/30/2013 3678 E. Longhorn Drive Gilbert AZ 85297 Maricopa Active 07/15/2010 09/30/2013 1102 Sunshine Way Santa Fe NM 87507 Santa Fe Active 09/30/1994 09/30/2014 Page 99 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0087121 Edelmira Franco 2475 Alcohol and Drug Counselor Richard D. Franits 0118751 Clinical Mental Health Counselor (LPCC) Carol A. Frank 0125361 Clinical Mental Health Counselor (LPCC) Jaffa Vernon Frank 006208 Licensed Mental Health Counselor Amy M. Franklin 0047 Licensed Mental Health Counselor Joan E. Franklin 0075021 Clinical Mental Health Counselor (LPCC) Robin L. Franks 0546 Clinical Mental Health Counselor (LPCC) Robert A. Fraze 3647 Clinical Mental Health Counselor (LPCC) Robert A. Fraze 2229 Alcohol and Drug Counselor Donald J. Frazier 0135491 Clinical Mental Health Counselor (LPCC) Mary L Freddie 3274 Licensed Mental Health Counselor Lonni Ann Fredman 3531 Art Therapist Barbara A. Free 2324 Alcohol and Drug Counselor Kira Freed 0073401 Professional Mental Health Counselor Mark Harvey Freedman Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1102 Sunshine Way Santa Fe NM 87507 Santa Fe Active 10/11/2005 09/30/2014 3732 Otra Vez Ct. NW Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2013 1 Monte Vista Ct. Placitas NM 87043 Sandoval Active 12/11/2008 09/30/2014 22 Ridge Road Placitas NM 87043 Sandoval Active 08/18/2009 09/30/2013 HCR 74 Box 24512 El Prado NM 87529 Taos Active 01/31/2002 09/30/2014 3112 Vista del Sur Albuquerque NM 87120 Bernalillo Active 05/31/1994 09/30/2013 1833 Moon Street NE Albuquerque NM 87112 Bernalillo Active 08/04/2004 09/30/2013 P.O. Box 865 Portales NM 88130-0865 Roosevelt Active 06/30/1994 09/30/2014 P.O. Box 865 Portales NM 88130-0865 Roosevelt Active 02/28/1997 09/30/2013 1004 Hendrix Avenue Alamogordo NM 88310 Otero Active 09/30/1994 09/30/2013 HC 63 Box 6070 Winslow AZ 86047 Navajo Active 10/14/2010 09/30/2014 514 Valley High St. SW Albuquerque NM 87105-0745 Bernalillo Active 02/29/2000 09/30/2014 1818 Somervell NE Albuquerque NM 87112 Bernalillo Retired 03/31/1997 09/30/2009 7887 N. La Cholla Blvd. #3194 Tucson AZ 85741 Pima Active 05/31/1996 09/30/2014 901 Dartmouth Drive NE Albuquerque NM 87106 Bernalillo Active 05/18/2004 09/30/2013 Page 100 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0079971 Paul R. Freeland 0154231 Clinical Mental Health Counselor (LPCC) Rhonda S. Freeman-Maze 2095 Licensed Mental Health Counselor Cynthia R. Freeman-Valerio 0131331 Professional Mental Health Counselor Durelle L Freeman 0068422 Clinical Mental Health Counselor (LPCC) Jeannette I. Freeman 0134621 Art Therapist Jeannette I. Freeman 3761 Clinical Mental Health Counselor (LPCC) Donna E. French 1392 Alcohol and Drug Counselor Sonja C. Frenz 3718 Professional Mental Health Counselor William Fresquez 1699 Alcohol and Drug Counselor Cynthia C. Frezek 0091421 Clinical Mental Health Counselor (LPCC) Sarah Frickel 0133661 Licensed Mental Health Counselor Sarah Frickel 0126181 Clinical Mental Health Counselor (LPCC) Sarah Anne Frickel 3369 Art Therapist Linda E. Friedman 3265 Clinical Mental Health Counselor (LPCC) Barbara E. Fries Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2719 San Diego Ave SE Albuquerque NM 87106 Bernalillo Active 03/08/2005 09/30/2014 209 Garcia St. NE Albuquerque NM 87123 Bernalillo Active 10/18/2012 09/30/2014 P.O. Box 431 Ranchos de Taos NM 87557 Taos Active 07/31/1994 09/30/2013 P.O. Box 120 Glenwood NM 88039 Catron Active 04/13/2010 09/30/2013 16 Camino Del Sur Tijeras NM 87059 Bernalillo Active 09/30/2003 09/30/2014 16 Camino Del Sur Tijeras NM 87059 Bernalillo Active 08/27/2010 09/30/2013 P.O. Box 368 Carlsbad NM 88221-0368 Eddy Active 01/31/1997 09/30/2013 100 Arroyo Salado Santa Fe NM 87508 Santa Fe Active 09/30/1994 09/30/2014 P.O. Box 72 Chacon NM 87713 Mora Active 03/31/1997 09/30/2014 1304 Lake Drive Newport News VA 23602 Newport News City Expired 01/31/1995 09/30/1997 P.O. Box 331 Ranchos de Taos NM 87557 Taos Expired 03/21/2006 09/30/2009 P.O. Box 331 Ranchos de Taos NM 87557 Taos Active 07/21/2010 09/30/2013 PO Box 331 Ranchos de Taos NM 87557 Taos Active 09/18/2009 09/30/2013 1725 Inez N.E. Albuquerque NM 87110 Bernalillo Active 04/30/1997 09/30/2013 1509 Dartmouth Drive NE Albuquerque NM 87106 Bernalillo Active 12/31/1996 09/30/2013 Page 101 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005911 Michael P. Frietze 0067692 Alcohol and Drug Counselor Brenda L. Frink 0093471 Alcohol and Drug Counselor Brenda L. Frink 2231 Clinical Mental Health Counselor (LPCC) F. Jane Fritz 1314 Clinical Mental Health Counselor (LPCC) Rebecca Standish Frock 0077471 Clinical Mental Health Counselor (LPCC) Kathleen S. Froese 0125131 Professional Mental Health Counselor Janice Fron 0144451 Marriage and Family Therapist William C. Frost 0067952 Clinical Mental Health Counselor (LPCC) Nikki C. Frushour 0064291 Licensed Mental Health Counselor Dennis B. Frye 0120721 Licensed Mental Health Counselor Stacey Frymier 0119041 Clinical Mental Health Counselor (LPCC) Stacey Frymier 0121161 Art Therapist Kristen L. Fudzinski 0124491 Temporary License Kristen Lenore Fudzinski 0151231 Licensed Mental Health Counselor Kristen Lenore Fudzinski Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 984 Mesilla NM 88046 Dona Ana Active 08/31/2002 09/30/2013 9912 K. 2nd Street NW Albuquerque NM 87114 Bernalillo Active 08/31/2003 09/30/2014 9912 K. 2nd Street NW Albuquerque NM 87114 Bernalillo Active 06/14/2006 09/30/2013 P.O. Box 353 Placitas NM 87043 Sandoval Active 09/30/1994 09/30/2013 8616 New Hampton Rd. NE Albuquerque NM 87111 Bernalillo Active 02/28/1999 09/30/2014 2320 Johnson Rd. Silver City NM 88061 Grant Active 11/22/2004 09/30/2014 HCR 77 Box 501 Hwy 285 Ojo Caliente NM 87549 Taos Active 08/04/2009 09/30/2013 125 Tacoma Circle Asheville NC 28801 Buncombe Active 10/25/2011 09/30/2013 10600 Brookline Dr. NW Albuquerque NM 87114 Bernalillo Active 09/30/2003 09/30/2014 P.O. Box 813 High Rolls Mountain Park NM 883250813 1712 Ave. Cristobal Colon Santa Fe NM 87501 Otero Expired 09/30/2002 09/30/2009 Santa Fe Active 02/23/2009 09/30/2014 1712 Ave. Cristobal Colon Santa Fe NM 87501 Santa Fe Active 12/30/2008 09/30/2014 6268 Apache Plume Rd. NE Rio Rancho NM 87144 Sandoval Null and Void 03/04/2009 09/30/2009 6268 Apache Plume Road NE Rio Rancho NM 87144 Sandoval Active 07/16/2009 09/30/2013 6268 Apache Plume Road NE Rio Rancho NM 87144 Sandoval Active 07/02/2012 02/28/2013 Page 102 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0156021 Timii A. Fulgham 0074671 Alcohol and Drug Counselor Kathryn L. Fuller 1808 Professional Mental Health Counselor Cynthia C. Fulreader 0104971 Professional Mental Health Counselor Kathleen C. Fulton 0101791 Clinical Mental Health Counselor (LPCC) James E. Fundark 0094981 Clinical Mental Health Counselor (LPCC) Melanie S. Furry 0124681 Licensed Mental Health Counselor Lisa Marie Fuss-Cawthon 0129461 Marriage and Family Therapist Anna R. Futrell 0106921 Marriage and Family Therapist Bryan M. Gabaldon 0180 Professional Mental Health Counselor Ronald A. Gabioud 3650 Clinical Mental Health Counselor (LPCC) Ronald A. Gabioud 0098781 Alcohol and Drug Counselor Gabrielle Viethen 3782 CEU Provider Certificate Carol Y. Gachupin 006230 Alcohol and Drug Counselor Memrie A Gaddis 0134841 Clinical Mental Health Counselor (LPCC) Lucia S. Gadney Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2702 39th St. Lubbock TX 79413 Lubbock Active 01/04/2013 09/30/2014 8 Cielo Montana Alamogordo NM 88310 Otero Active 07/22/2004 09/30/2013 2844 Vereda De Pueblo Santa Fe NM 87507 Santa Fe Active 07/31/1994 09/30/2014 205 West Park Ave Durango CO 81301 La Plata Active 06/27/2007 09/30/2014 2905 Yale Drive Farmington NM 87402 San Juan Active 03/14/2007 09/30/2014 8401 Spain Road NE, 47C 47C Albuquerque NM 87111 6508 Northland Avenue NE Albuquerque NM 87109 Bernalillo Active 08/02/2006 09/30/2013 Bernalillo Active 07/21/2009 09/30/2013 P.O. Box 874 Chama NM 87520 Rio Arriba Active 02/08/2010 09/30/2013 4801 Irving Blvd. NW #4101 Albuquerque NM 87114 520 W 13th St. Silver City NM 88061 Bernalillo Active 08/23/2007 09/30/2014 Grant Active 05/31/1994 09/30/2014 520 W 13th St. Silver City NM 88061 Grant Active 02/28/1997 09/30/2014 551 West Cordova Road # 156 Santa Fe NM 87505 Santa Fe Active 12/01/2006 09/30/2013 P. O. Box 451 Jemez Pueblo NM 87024 Sandoval Active 01/31/1997 09/30/2014 9304 Pennywise Lane Gaithersburg MD 20877 Montgomery Active 12/31/2001 09/30/2014 6445 Casper Ridge El Paso TX 79912 El Paso Active 09/09/2010 09/30/2013 Page 103 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0139921 Mitzi McKool Gadway 0142611 Clinical Mental Health Counselor (LPCC) Brian H. Gafford 1512 Licensed Mental Health Counselor Barbara E. Gage 0830 Clinical Mental Health Counselor (LPCC) Nancy S. Gagne 2496 Clinical Mental Health Counselor (LPCC) Michael Lynch Gailey 0096351 Professional Mental Health Counselor Carolyn M. Gaines 0147541 Clinical Mental Health Counselor (LPCC) Seren Gale-Jackson 1210 Licensed Mental Health Counselor Elena M. Galindo 0114731 Professional Mental Health Counselor Krista Marie Galindo 0882 Marriage and Family Therapist Debra S. Gallant 0128851 Clinical Mental Health Counselor (LPCC) Maria del Rosario Josefina Gallardo Neyra 0150811 Licensed Mental Health Counselor Maria del Rosario Josefina Gallardo Neyra 0154731 Temporary License Maria del Rosario Josefina Gallardo Neyra 0155811 Temporary License Amanda N. Gallegos 0883 Licensed Mental Health Counselor Anna Lupie Gallegos Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 6001 Papaya Place NE Albuquerque NM 87111 Bernalillo Active 05/12/2011 09/30/2014 5722 Organ Peak Dr. Las Cruces NM 88012 Dona Ana Active 08/19/2011 09/30/2014 1569 La Cieneguita Santa Fe NM 87507 Santa Fe Active 09/30/1994 09/30/2014 701 Monroe SE Albuquerque NM 87108 Bernalillo Active 06/30/1994 09/30/2014 67 Kingery El Paso TX 79902 El Paso Active 08/30/1994 09/30/2013 1405 Parkland Cir. Aztec NM 87410 San Juan Active 09/08/2006 09/30/2013 2331 B Sierra Blanca Loop Holloman AFB NM 88330 Otero Active 02/28/2012 09/30/2013 701 Broom Dr. Hobbs NM 88240 Lea Active 07/31/1994 09/30/2014 10901 Desert Dreamer St. NW. Albuquerque NM 87114 Bernalillo Active 06/24/2008 09/30/2014 2200 Matthew Ave. NW Albuquerque NM 87104 Bernalillo Active 09/30/1994 09/30/2014 10001 Coors By Pass NW Apt. 2226 Albuquerque NM 87114 Bernalillo Active 01/20/2010 09/30/2013 10001 Coors By Pass NW Apt. 2226 Albuquerque NM 87114 Bernalillo Null and Void 06/15/2012 01/31/2013 10001 Coors By Pass NW Apt. 2226 Albuquerque NM 87114 Bernalillo Active 11/09/2012 06/30/2013 725 Cardenas NE Albuquerque NM 87108 Bernalillo Active 12/21/2012 09/30/2014 P.O. Box 1542 Santa Fe NM 87504 Santa Fe Active 06/30/1994 09/30/2013 Page 104 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4142 Frank Gallegos, Jr. 0120281 Substance Abuse Associate Jennifer Rose Gallegos 0155451 Substance Abuse Associate Jennifer Rose Gallegos 0149471 Alcohol and Drug Counselor Kristine Marie Gallegos 0128941 Clinical Mental Health Counselor (LPCC) Marlayna Elizabeth Gallegos 0147991 Licensed Mental Health Counselor Marlayna Elizabeth Gallegos 0152341 Clinical Mental Health Counselor (LPCC) Rosemarie Gallegos 0153531 Clinical Mental Health Counselor (LPCC) Lisa M. Galles 3442 Licensed Mental Health Counselor Robert B. Galligan, Jr. 0080391 Alcohol and Drug Counselor Robert B. Galligan, Jr. 4320 Clinical Mental Health Counselor (LPCC) Victoria F. Gallop 0130681 Alcohol and Drug Counselor Victoria F. Gallop 0086771 Clinical Mental Health Counselor (LPCC) Sergio Galvan 1945 Alcohol and Drug Counselor Zalla A. Galya 0153291 Clinical Mental Health Counselor (LPCC) Alissa N. Ganje Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 206 South 9th Street Santa Rosa NM 88435 Guadalupe Active 10/31/1999 09/30/2014 P.O. Box 998 Eunice NM 88231 Lea Active 02/06/2009 09/30/2013 P.O. Box 998 Eunice NM 88231 Lea Active 12/07/2012 09/30/2014 33 Lafayette Place #1 Salem MA 01970 Essex Active 04/23/2012 09/30/2014 1210 Northern Lights Way NE Rio Rancho NM 87144 Sandoval Active 01/20/2010 09/30/2013 1210 Northern Lights Way NE Rio Rancho NM 87144 Sandoval Active 03/19/2012 09/30/2013 320 Shannon Pl. NW Albuquerque NM 87107-3924 Bernalillo Active 08/17/2012 09/30/2013 1844 Shadow Leader SE Albuquerque NM 87123 Bernalillo Active 09/19/2012 09/30/2013 1400 Carlisle NE Albuquerque NM 87110 Bernalillo Active 01/31/1997 09/30/2014 1400 Carlisle NE Albuquerque NM 87110 Bernalillo Active 03/23/2005 09/30/2014 P.O. Box 375 Hurley NM 88043 Grant Retired 01/31/1999 09/30/2012 P.O. Box 375 Hurley NM 88043 Grant Active 03/26/2010 09/30/2013 336 Coral Hills El Paso TX 79912 El Paso Active 09/28/2005 09/30/2014 7405 Blue Moon Lane NE Albuquerque NM 87113 Bernalillo Active 02/28/1995 09/30/2013 5524 Costa Garraf Rd. NW Albuquerque NM 87120 Bernalillo Active 09/11/2012 09/30/2013 Page 105 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3445 Margaret Ann Garberina 0085811 Alcohol and Drug Counselor Margaret Ann Garberina 2104 Clinical Mental Health Counselor (LPCC) Renie C. Garcia Y Griego 0145901 Professional Mental Health Counselor Amelia Garcia 0132381 Licensed Mental Health Counselor Andrea Dominique Garcia 0086431 Marriage and Family Therapist Catherine P. Garcia 0140731 Marriage and Family Therapist Char'let A. Garcia 0150921 Substance Abuse Associate Diana L. Garcia 0090641 Licensed Mental Health Counselor Eduardo A. Garcia 0130381 Clinical Mental Health Counselor (LPCC) Gilberto Jaime Garcia 0148381 Clinical Mental Health Counselor (LPCC) Kathryn A Garcia 0156031 Substance Abuse Associate Martin C. Garcia 0152221 Clinical Mental Health Counselor (LPCC) Mary D. Garcia 0145421 Substance Abuse Associate Mary Lina Garcia 0133761 Temporary License Michelle M. Garcia Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4031 Mackland NE Albuquerque NM 87110 Bernalillo Active 04/30/1997 09/30/2013 4031 Mackland NE Albuquerque NM 87110 Bernalillo Active 09/06/2005 09/30/2014 4321 San Pedro NE #H-5 Albuquerque NM 87109 Bernalillo Active 09/30/1994 09/30/2014 05 Tres Ninas Los Lunas NM 87031 Valencia Active 12/29/2011 09/30/2013 6817 Los Trechos Ct. NE Albuquerque NM 87109 Bernalillo Active 05/26/2010 09/30/2013 6216-D Antigua Street NE Albuquerque NM 87111 Bernalillo Active 09/19/2005 09/30/2014 424 Chelwood Park Albuquerque NM 87123 Bernalillo Active 06/14/2011 09/30/2014 4209 San Pedro Dr. NE #268 Albuquerque NM 87109 Bernalillo Active 06/20/2012 09/30/2013 5615 Darlington Place NW Albuquerque NM 87114 Bernalillo Active 03/06/2006 09/30/2013 6090 Surety Drive, Ste. 200 El Paso TX 79905-2041 El Paso Active 03/10/2010 09/30/2013 208 Jefferson St. NE, Apt. B Albuquerque NM 87108 Bernalillo Active 03/26/2012 09/30/2013 5716 Aztec NE Albuquerque NM 87110 Bernalillo Active 01/04/2013 09/30/2014 3000 N. Anthony Dr. Anthony NM 88021 Dona Ana Active 08/15/2012 09/30/2013 100 Largo Place Belen NM 87002 Valencia Null and Void 12/09/2011 07/31/2012 1214 Franklin Nook El Paso TX 79912 El Paso Active 07/26/2010 09/30/2013 Page 106 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3501 Ralph M. Garcia 0123661 Alcohol and Drug Counselor Renee Abrie Garcia 0093411 Clinical Mental Health Counselor (LPCC) Ronald E. Garcia 0113961 Clinical Mental Health Counselor (LPCC) Shannon M. Garcia 0120611 Clinical Mental Health Counselor (LPCC) Traci Lee Garcia 006181 Licensed Mental Health Counselor Gary H Garland 3880 Alcohol and Drug Counselor John M. Garland 0136631 Alcohol and Drug Counselor Mark B. Garnand 0098181 Substance Abuse Associate Gerald N. Garnenez 006146 Alcohol and Drug Counselor Veronica Garnenez 1517 Substance Abuse Associate Gerald G. Garner 0096131 Professional Mental Health Counselor Dawn Alisa Garrett 2484 Clinical Mental Health Counselor (LPCC) Sandra J. Garriott-Stejskal 2491 Art Therapist Sandra J. Garriott-Stejskal 0058 Clinical Mental Health Counselor (LPCC) Norbert W. Gaskins Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 105 Lone Mountain Street Santo Domingo Pueblo NM 87052 Sandoval Active 01/31/1997 09/30/2013 4946 Nicely Ct. Las Cruces NM 88012 Dona Ana Active 06/12/2009 09/30/2013 P.O. Box 6546 Las Cruces NM 88006 Dona Ana Active 06/14/2006 09/30/2013 14117 Domingo Road NE Albuquerque NM 87123 Bernalillo Active 05/23/2008 09/30/2014 305 Calle Leon NW Albuquerque NM 87114 Bernalillo Active 02/19/2009 09/30/2014 108 Service Road Ruidoso NM 88345 Lincoln Active 08/31/2002 09/30/2013 P.O. Box 414 Velarde NM 87582 Rio Arriba Active 01/31/1997 09/30/2014 7123 Vigo Avenue SW Albuquerque NM 87121 Bernalillo Active 12/01/2010 09/30/2014 P.O. Box 4091 Shiprock NM 87420 San Juan Active 11/09/2006 09/30/2013 P.O. Box 3416 Gallup NM 87305 McKinley Active 10/30/2001 09/30/2014 2008 Paseo De La Villa SE Rio Rancho NM 87124-8814 Sandoval Active 07/31/1994 09/30/2013 407 Sunset Avenue Alamogordo NM 88310 Otero Active 09/05/2006 09/30/2013 520 Slate Ave. NW Albuquerque NM 87102 Bernalillo Retired 07/31/1994 09/30/2012 520 Slate Ave. NW Albuquerque NM 87102 Bernalillo Active 07/31/1994 09/30/2013 180 W. San Miguel Street La Mesa NM 88044 Dona Ana Active 07/31/1994 09/30/2014 Page 107 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3733 Tana L. Gasparek 0087871 Alcohol and Drug Counselor Athena Marie Gassoumis 0083441 Alcohol and Drug Counselor Robert G. Gates 0091341 Clinical Mental Health Counselor (LPCC) Deborah Elisabeth Gaudet 0147811 Licensed Mental Health Counselor Deborah Elisabeth Gaudet 0150541 Temporary License Tess A. Gaudet 0150961 Temporary License Tess A. Gaudet 0151691 Temporary License Cecelia D. Gauna-Wigelsworth 0121251 Temporary License Rachael K. Gedion 0147311 Licensed Mental Health Counselor Rachael K. Gedion 0153251 Temporary License Rachael K. Gedion 0109821 Temporary License Elizabeth Gehrman 0155851 Marriage and Family Therapist Jessica C. Gelgand 1814 Licensed Mental Health Counselor Marie L. Gendreau-Wilson 0089521 Professional Mental Health Counselor Genevieve A. Davis, MA CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 76 Tres Piedras NM 87577 Taos Retired 01/31/1997 09/30/2009 P.O. Box 876 Socorro NM 87801 Socorro Active 11/15/2005 09/30/2014 6421 Concordia RD. NE Albuquerque NM 87111 Bernalillo Active 07/01/2005 09/30/2014 842 Hill St. Bellefonte PA 16823 Centre Active 03/20/2006 09/30/2013 842 Hill St. Bellefonte PA 16823 Centre Active 03/12/2012 10/31/2012 6333 Prairie Rd., NE Albuquerque NM 87109 Bernalillo Active 06/07/2012 01/31/2013 6333 Prairie Rd., NE Albuquerque NM 87109 Bernalillo Active 06/20/2012 09/30/2013 676 Ridgeside Trail SW Albuquerque NM 87121 Bernalillo Active 07/26/2012 02/28/2013 6200 Indian School Rd., Apt. 100 Albuquerque NM 87110 Bernalillo Active 03/09/2009 09/30/2013 6200 Indian School Rd., Apt. 100 Albuquerque NM 87110 Bernalillo Null and Void 02/15/2012 09/30/2012 6200 Indian School Rd., Apt. 100 Albuquerque NM 87110 Bernalillo Active 09/10/2012 04/30/2013 6940 Eastford Place NW Albuquerque NM 87114 Bernalillo Active 12/12/2007 09/30/2013 6555 Dos Lobos Las Cruces NM 88005 Dona Ana Active 12/24/2012 09/30/2014 P.O. Box 7 Tijeras NM 87059 Bernalillo Active 10/31/1994 09/30/2014 P.O. Box 5132 Santa Fe NM 87502-5132 Santa Fe Active 01/30/2006 09/30/2013 Page 108 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005722 Lisa K. George 0085771 Clinical Mental Health Counselor (LPCC) Mark Geraghty 0085341 Clinical Mental Health Counselor (LPCC) Susan H. Gerard 0500 Marriage and Family Therapist Susan C. Gerber 0099011 Clinical Mental Health Counselor (LPCC) Alem Tsehay Gering 1518 Substance Abuse Associate Jaclyn S. Gerstein 4371 Clinical Mental Health Counselor (LPCC) Christy R. Gervers 0106701 Licensed Mental Health Counselor Angelique A. Gettle 0049 Marriage and Family Therapist Donna M. Giaquinto 0052 Clinical Mental Health Counselor (LPCC) Donna M. Giaquinto 0099861 Marriage and Family Therapist Josie Gibb 0144941 Clinical Mental Health Counselor (LPCC) Mija E. Gibboney 0139271 Licensed Mental Health Counselor Paul F. Gibeault 0082411 Clinical Mental Health Counselor (LPCC) Catherine D. Gibson 0151831 Clinical Mental Health Counselor (LPCC) GREGORY S GIBSON Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 222 Morningside Drive NE Albuquerque NM 87108 Bernalillo Active 12/31/2001 09/30/2014 P.O. Box 1438 Gallup NM 87305 McKinley Active 09/06/2005 09/30/2014 4333 Dancing Ground Road Santa Fe NM 87507 Santa Fe Active 08/31/2005 09/30/2014 6 Aventura Road Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 13108 Velma Pl. NE Albuquerque NM 87112 Bernalillo Active 12/14/2006 09/30/2013 5543 Collister Drive Boise ID 83703 Ada Active 11/30/1995 09/30/2014 6 Cayuse Place Santa Fe NM 87508 Santa Fe Active 11/30/1997 09/30/2013 1954 Tijeras Rd. Santa Fe NM 87505 Santa Fe Active 08/16/2007 09/30/2014 435 Riage Crest Los Alamos NM 87544 Los Alamos Active 09/30/1994 09/30/2013 435 Riage Crest Los Alamos NM 87544 Los Alamos Retired 06/30/1994 09/30/2008 202 Providence Mine Road, Suite 103 Nevada City CA 95959 Nevada Active 01/11/2007 09/30/2014 808 Adams St. NE Albuquerque NM 87110 Bernalillo Active 11/16/2011 09/30/2013 404-B Dalton Dr. Colchester VT 05446 Chittenden Retired 04/08/2011 09/30/2012 64 Jerome Road Los Lunas NM 87031 Valencia Active 06/07/2005 09/30/2014 778 Camino Francisca Santa Fe NM 87506 Santa Fe Active 07/31/2012 09/30/2013 Page 109 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0075111 Mary M. Gibson 0066932 Marriage and Family Therapist Elizabeth P. Giddings 005486 Substance Abuse Associate Michael Wayne Giddings 0126991 Alcohol and Drug Counselor Teresa Arlene Gigante 0128081 Clinical Mental Health Counselor (LPCC) Kelly Lynn Gilbreth 0088651 Clinical Mental Health Counselor (LPCC) Jennifer Lynne Gillespie 0149951 Clinical Mental Health Counselor (LPCC) Marsha A Gilliland 1519 Licensed Mental Health Counselor Alan H. Gilmore 0139331 Clinical Mental Health Counselor (LPCC) Richard P Gilsdorf 0091791 Clinical Mental Health Counselor (LPCC) James Gilson 0136911 Clinical Mental Health Counselor (LPCC) Jennifer Lee Ginanni 0831 Clinical Mental Health Counselor (LPCC) Beth Louise Gineris, DOM 0083821 Clinical Mental Health Counselor (LPCC) Marie T. Ginga 0152941 Clinical Mental Health Counselor (LPCC) Ginna H. Clark 0276 CEU Provider Certificate Terry A. Ginsberg Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 11704 Terra Bella Lane SE Albuquerque NM 87123 Bernalillo Active 08/11/2004 09/30/2013 606 Calle de Demetro Los Lunas NM 87031 Valencia Retired 06/30/2003 09/30/2012 606 Calle Don Demetrio Los Lunas NM 87031 Valencia Active 02/28/2001 09/30/2014 1433 Ducale Dr. SE Rio Rancho NM 87124 Sandoval Active 10/26/2009 09/30/2013 421 8th St, SW Albuquerque NM 87102 Bernalillo Active 12/14/2009 09/30/2013 4153 Raindance Ln. Santa Fe NM 87507 Santa Fe Active 12/20/2005 09/30/2014 1911 Virginia Estates Portales NM 88130 Roosevelt Active 05/17/2012 09/30/2013 529 Barlane Pl. NW Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2013 340 Camino Rael Alamogordo NM 88310 Otero Active 04/13/2011 09/30/2014 2818 Truman St. NE Albuquerque NM 87110 Bernalillo Active 03/30/2006 09/30/2013 2025 Saddle Club Drive Hobbs NM 88240 Lea Active 12/27/2010 09/30/2014 7520 Montgomery Blvd. NE, suite D12 Albuquerque NM 87109 122 Ashley Lane Corrales NM 87048 Bernalillo Active 09/30/1994 09/30/2013 Sandoval Active 07/07/2005 09/30/2014 1344 A Pacheco St. Santa Fe NM 87505 Santa Fe Active 08/30/2012 09/30/2013 P.O. Box 25812 Albuquerque NM 87125 Bernalillo Active 06/30/1994 09/30/2014 Page 110 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0092241 Gary L. J. Giron 0413 Clinical Mental Health Counselor (LPCC) Paolo Giudici 3478 Clinical Mental Health Counselor (LPCC) Paolo Giudici 005818 Alcohol and Drug Counselor Janice Powell Gjertson 0151091 Clinical Mental Health Counselor (LPCC) Lisa B. Gladden 0153931 Temporary License Lisa B. Gladden 0436 Temporary License Alfred Gordon Glass, Jr. 2790 Clinical Mental Health Counselor (LPCC) Charlotte R. Glass 006010 Professional Mental Health Counselor Lynn Anne Glass 1946 Professional Mental Health Counselor Chellis Glendinning 1293 Clinical Mental Health Counselor (LPCC) Marjorie E. Glenn 3158 Clinical Mental Health Counselor (LPCC) Martha A. Glenn 0143091 Professional Mental Health Counselor Barry Glick 0145841 Clinical Mental Health Counselor (LPCC) Joan E. Glick 0125451 Clinical Mental Health Counselor (LPCC) Jay Howard Glickman Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5436 Tecamec Rd. NE Rio Rancho NM 87144 Sandoval Active 04/21/2006 09/30/2013 PO Box 1491 Santa Fe NM 87504 Santa Fe Active 07/31/1994 09/30/2013 PO Box 1491 Santa Fe NM 87504 Santa Fe Active 01/31/1997 09/30/2014 3807 Torrey Pines Road Rio Rancho NM 87124 Sandoval Active 09/30/2001 09/30/2014 7 Rd. 6447 Kirtland NM 87417 San Juan Null and Void 06/22/2012 01/31/2013 7 Rd. 6447 Kirtland NM 87417 San Juan Active 10/05/2012 05/31/2013 420 Cerrillos Drive Farmington NM 87401 San Juan Retired 06/30/1994 09/30/2012 5421 Brosman SW Albuquerque NM 87121 Bernalillo Active 06/30/1995 09/30/2014 8121 Rainbow Blvd. Albuquerque NM 87114 Bernalillo Active 06/30/2001 09/30/2014 c/o Blair/Reeve Box 631 Abiquiu NM 87510 Rio Arriba Retired 07/31/1994 09/30/2012 3013 Carolina NE Albuquerque NM 87110 Bernalillo Retired 07/31/1994 09/30/2009 11612 Lexington NE Albuquerque NM 87112 Bernalillo Active 12/31/1995 09/30/2014 533 Minturn Ct. NE Rio Rancho NM 87124-6348 Sandoval Active 09/12/2011 09/30/2014 533 Minturn Ct. NE Rio Rancho NM 87124-6348 Sandoval Active 12/23/2011 09/30/2013 205 Lyon Street Silver City NM 88061 Grant Active 08/20/2009 09/30/2013 Page 111 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0118831 Charlene Lynette Glover 0140511 Clinical Mental Health Counselor (LPCC) Christine Glover 3262 Licensed Mental Health Counselor Geraldine J. Glover 0078591 Clinical Mental Health Counselor (LPCC) Jan A. Gloyd 0107651 Professional Mental Health Counselor Sally Rae Goble 0105731 Marriage and Family Therapist Lori Ann Goetz 0119461 Art Therapist Lori Ann Goetz 4335 Clinical Mental Health Counselor (LPCC) Gretchen M. Goff 0152761 Clinical Mental Health Counselor (LPCC) Cindy M Goggin 0111301 Marriage and Family Therapist M. Diane Goin-Ryde 0142621 Clinical Mental Health Counselor (LPCC) Jeanne C. Goins 0146121 Licensed Mental Health Counselor Jeanne C. Goins 0132121 Substance Abuse Associate Pamela Elaine Goins 5129 Marriage and Family Therapist Edward S. Gold 0105571 Professional Mental Health Counselor Jean C. Gold Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 6984 Angela Dr NE Rio Rancho NM 87144 Sandoval Active 12/16/2008 09/30/2014 495 Camino Don Miguel Santa Fe NM 87505 Santa Fe Active 06/07/2011 09/30/2014 2331 Calle Luminoso Santa Fe NM 87505 Santa Fe Active 12/31/1996 09/30/2014 3908 Torrey Pines Rd. SE Rio Rancho NM 87124 Sandoval Active 01/13/2005 09/30/2014 P.O. Box 235 28 Paseo de San Antonio Placitas NM 87043 1000 Cordova Place #502 Santa Fe NM 87505 Sandoval Active 09/26/2007 09/30/2013 Santa Fe Active 07/19/2007 09/30/2014 1000 Cordova Place #502 Santa Fe NM 87505 Santa Fe Active 01/15/2009 09/30/2013 P.O. Box 187 Tesuque NM 87574 Santa Fe Active 12/31/1998 09/30/2013 21 Yellow Arrow Ln. Silver City NM 88061 Grant Active 08/29/2012 09/30/2013 751 Parkside NE Albuquerque NM 87123 Bernalillo Active 02/11/2008 09/30/2014 3695 Gem St. Las Cruces NM 88012 Dona Ana Active 08/19/2011 09/30/2014 3695 Gem St. Las Cruces NM 88012 Dona Ana Active 01/10/2012 09/30/2013 4517 Skylark Way El Paso TX 79922 El Paso Active 05/17/2010 09/30/2013 1930 Village Center Cicle Suite 3-908 Las Vegas NV 89134 Clark Active 03/31/2000 09/30/2013 1809 Blue Spruce Drive Grants NM 87020 Cibola Active 07/17/2007 09/30/2014 Page 112 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0087201 Alan Michael Goldberg 0115471 Alcohol and Drug Counselor Marni Gail Goldberg 0312 Clinical Mental Health Counselor (LPCC) Cynthia A. Goldblatt 0140411 Clinical Mental Health Counselor (LPCC) Golden Willow Retreat 0153761 CEU Provider Certificate Eric D. Golden 0145021 Temporary License Anne Golembeski 0122501 Licensed Mental Health Counselor Annalisa Golowacz 0141451 Clinical Mental Health Counselor (LPCC) David J. Golumb 006157 Licensed Mental Health Counselor Martha E. Gomez Johnson 0126741 Professional Mental Health Counselor Albert Lawrence Gomez 3654 Alcohol and Drug Counselor Jeanna P. Gomez 0117381 Alcohol and Drug Counselor Guillermo Gomez, Jr. 0134501 Clinical Mental Health Counselor (LPCC) Lori Beth Gomez 3678 Alcohol and Drug Counselor Mary R. Gomez 0135701 Alcohol and Drug Counselor Stevie Lynn Gomez Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 11616 Bellamah Ave NE Albuquerque NM 87112-4412 Bernalillo Active 10/13/2005 09/30/2014 1824 Propps Street NE Albuquerque NM 87112 Bernalillo Active 07/22/2008 09/30/2014 3923 Smith SE Albuquerque NM 87108 Bernalillo Active 06/30/1994 09/30/2014 PO Box 569 Arroyo Hondo NM 87513 Taos Active 05/27/2011 09/30/2013 321 Tesuque Dr. Unit D Santa Fe NM 87505 Santa Fe Active 09/26/2012 04/30/2013 600 Navarra Way SE Albuquerque NM 87123 Bernalillo Active 11/21/2011 09/30/2013 P.O. Box 712 Tome NM 87060 Valencia Active 04/17/2009 09/30/2013 6 Diamond A Road Silver City NM 88061 Grant Active 07/12/2011 09/30/2014 45 Charro Trail Silver City NM 88061 Grant Active 11/30/2001 09/30/2013 217 La Plata Drive Farmington NM 87401 San Juan Active 10/19/2009 09/30/2013 5423 Davids Bend Dr. Sugarland TX 77479 Fort Bend Active 03/31/1997 09/30/2014 913 Apple Ln. El Paso TX 79925 El Paso Active 10/14/2008 09/30/2014 PO Box 821 Taos NM 87571 Taos Active 08/25/2010 09/30/2013 ACS, Inc. P.O. Box 12907 Albuquerque NM 87195 Bernalillo Active 06/30/1997 09/30/2014 3104 Crescent Ave. Farmington NM 87401 San Juan Active 10/22/2010 09/30/2014 Page 113 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0136821 Lisa W. Gomme 0118371 Licensed Mental Health Counselor Renee Suzanne Gonyier 0118251 Marriage and Family Therapist Edna E. Gonzales-Anzaldua 006255 Alcohol and Drug Counselor Mary T. Gonzales-Loza 1294 Substance Abuse Associate Ana M. Gonzales 006090 Clinical Mental Health Counselor (LPCC) Gregory Lee Gonzales 0113741 Clinical Mental Health Counselor (LPCC) Areli (Al) David Gonzales, Jr. 0119771 Alcohol and Drug Counselor Karla Dawn Gonzales 0138111 Licensed Mental Health Counselor Lisa G. Gonzales 0128351 Licensed Mental Health Counselor Lynn Monica Gonzales 3779 Clinical Mental Health Counselor (LPCC) Ricardo R. Gonzales 0102751 Alcohol and Drug Counselor Sandra L. Gonzales 0124031 Temporary License Sandra L. Gonzales 1200 Substance Abuse Associate Sandrea S. Gonzales 006261 Clinical Mental Health Counselor (LPCC) Irma Gonzalez Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 7612 Albuquerque NM 87194 Bernalillo Active 12/15/2010 09/30/2014 28 Camino Esperanza Santa Fe NM 87507 Santa Fe Active 11/17/2008 09/30/2014 P.O. Box 109 Hernandez NM 87537 Rio Arriba Active 11/12/2008 09/30/2014 609 Madison St. SE Albuquerque NM 87108 Bernalillo Active 02/01/2002 09/30/2013 2026 North Gonzales Las Vegas NM 87701 San Miguel Active 07/31/1994 09/30/2014 2020 Corley Dr. Las Cruces NM 88001 Dona Ana Active 12/31/2002 09/30/2014 P.O. Box 3018 Taos NM 87571 Taos Active 05/20/2008 09/30/2013 905 Tambora St. NW Albuquerque NM 87120 Bernalillo Active 01/21/2009 09/30/2014 2446 Camino Capitan Santa Fe NM 87505 Santa Fe Active 02/22/2011 09/30/2014 2109 Fred Daugherty Apt. C Clovis NM 88101 Curry Active 12/28/2009 09/30/2013 P.O. Box 325 Glorieta NM 87535 Santa Fe Active 02/28/1997 09/30/2013 P.O. Box 43 Hurley NM 88043 Grant Active 04/13/2007 05/31/2008 P.O. Box 43 Hurley NM 88043 Grant Active 06/29/2009 09/30/2013 2608 Aloysia Ln . NW Albuquerque NM 87104 Bernalillo Active 07/31/1994 09/30/2014 7511 Alpine Drive El Paso TX 79915 El Paso Active 08/31/2002 09/30/2013 Page 114 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3659 Miguel A. Gonzalez 0934 Substance Abuse Associate Deborah A. Good 1414 Art Therapist Deborah A. Good 0113501 Clinical Mental Health Counselor (LPCC) Julie B. Good 0097711 Licensed Mental Health Counselor Robert Edward Goode 0140831 Clinical Mental Health Counselor (LPCC) Dawn Rachelle Goodheart 4048 Clinical Mental Health Counselor (LPCC) Thomas N. Goodluck 0129 Alcohol and Drug Counselor Abbe A. Goodman 0101321 Marriage and Family Therapist Cheryl Lynn Goodman 0151431 Clinical Mental Health Counselor (LPCC) Megan N. Goodman 0438 Licensed Mental Health Counselor Roberta R. Goodman 0439 Art Therapist Roberta R. Goodman 0122491 Professional Mental Health Counselor Wendy G. Goodman 0127551 Alcohol and Drug Counselor Wendy G. Goodman 0138741 Clinical Mental Health Counselor (LPCC) Kristopher M Goodrich Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5836 Irving Blvd. NW Albuquerque NM 87114 Bernalillo Active 06/30/1998 09/30/2013 2489 Elfego Road NW Albuquerque NM 87107-3008 Bernalillo Active 07/31/1994 09/30/2014 2489 Elfego Road NW Albuquerque NM 87107-3008 Bernalillo Active 07/31/1994 09/30/2014 700 N. Bullard St. Silver City NM 88061 Grant Active 05/08/2008 09/30/2014 512 E. Green Avenue Gallup NM 87301 McKinley Active 10/26/2006 09/30/2013 2815 Borroughs Las Cruces NM 88007 Dona Ana Active 06/16/2011 09/30/2014 2011 Troy King Rd. #113 Farmington NM 87401 San Juan Active 03/31/1997 09/30/2014 6240 Laurel Canyon Blvd., #202 North Hollywood CA 91606 Los Angeles Expired 06/30/1994 09/30/1997 124 San Lucas Belen NM 87002 Valencia Active 02/26/2007 09/30/2014 7420 Santa Barbara Rd. NE Albuquerque NM 87109 Bernalillo Active 07/09/2012 09/30/2013 P.O. Box 1111 Santa Fe NM 87504 Santa Fe Active 07/31/1994 09/30/2014 P.O. Box 1111 Santa Fe NM 87504 Santa Fe Expired 07/31/1994 09/30/2003 2859 Plaza Rojo Santa Fe NM 87507 Santa Fe Active 04/17/2009 09/30/2013 2859 Plaza Rojo Santa Fe NM 87507 Santa Fe Active 11/19/2009 09/30/2013 5404 Montgomery Blvd NE Apt 406A Albuquerque NM 87109 Bernalillo Active 03/21/2011 09/30/2014 Page 115 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0078151 Kenneth K. Goodrow 3132 Clinical Mental Health Counselor (LPCC) Peter Hamlin Goodwin 005481 Licensed Mental Health Counselor Peter Hamlin Goodwin 1524 Alcohol and Drug Counselor Kristen B. Gorbach 0150171 Professional Mental Health Counselor Blake Gordon 0137551 Licensed Mental Health Counselor Chandra S. Gordon 0146271 Alcohol and Drug Counselor Deidre Michelle Gordon 0087041 Temporary License John W. Gordon 0505 Marriage and Family Therapist Laura A. Gordon 0144281 Clinical Mental Health Counselor (LPCC) Luciana J. Gorman 0153101 Temporary License Luciana J. Gorman 1347 Temporary License Patrick C.M. Gorman 0097 Professional Mental Health Counselor Gregory L. Gossett 0076991 Clinical Mental Health Counselor (LPCC) Sharon R. Gough 0081671 Clinical Mental Health Counselor (LPCC) Sharon R. Gough Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10220 Avenida Vista Sol NW Albuquerque NM 87114 Bernalillo Active 01/03/2005 09/30/2013 P.O. Box 2686 Santa Fe NM 87504 Santa Fe Active 11/30/1995 09/30/2014 P.O. Box 2686 Santa Fe NM 87504 Santa Fe Active 01/31/2002 09/30/2013 35 Schultz Lane Belen NM 87002 Valencia Active 07/31/1994 09/30/2014 807 Loma Boreal Santa Fe NM 87501 Santa Fe Active 05/24/2012 09/30/2013 P.O. Box 3348 Milan NM 87021 Cibola Active 01/25/2011 09/30/2014 3841B Sandstone Pl, SE Albuquerque NM 87116-3015 Bernalillo Null and Void 01/13/2012 12/31/2012 P.O. Box 1811 Socorro NM 87801 Socorro Active 10/07/2005 09/30/2014 P.O. Box 13001 Las Cruces NM 88013 Dona Ana Active 06/30/1994 09/30/2013 Box 1578 Saint Michaels AZ 86511 Apache Null and Void 10/18/2011 05/31/2012 Box 1578 Saint Michaels AZ 86511 Apache Null and Void 09/06/2012 04/30/2013 4801 Galleta Rd NW Albuquerque NM 87120 Bernalillo Active 07/31/1994 09/30/2013 1067 Calle Don Roberto Santa Fe NM 87505 Santa Fe Expired 10/31/1994 09/30/1999 P.O. Box 683 Silver City NM 88062 Grant Active 10/29/2004 09/30/2014 P.O. Box 683 Silver City NM 88062 Grant Active 05/09/2005 09/30/2014 Page 116 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0887 Connie M. Gould 3892 Clinical Mental Health Counselor (LPCC) Connie M. Gould 0101 Alcohol and Drug Counselor Mark A. Gould 4441 Clinical Mental Health Counselor (LPCC) Suzannah Miriam Gould 4657 Alcohol and Drug Counselor Theodore C. Gould 3101 Professional Mental Health Counselor Joab S. Gouveia 0152371 Clinical Mental Health Counselor (LPCC) Paul Matthew Grabowsky 005580 Clinical Mental Health Counselor (LPCC) Sarah Grace 0832 Art Therapist Rudy M. Grado 1944 Professional Mental Health Counselor Carole A. Grady 0147261 Clinical Mental Health Counselor (LPCC) Jennifer L. Grady 0105881 Licensed Mental Health Counselor Margaret Grady 0114391 Alcohol and Drug Counselor Margaret Grady 0114921 Clinical Mental Health Counselor (LPCC) Sharon Ann Grady 0143121 Licensed Mental Health Counselor Sharon Ann Grady Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2729 Gun Club Rd. SW Albuquerque NM 87105 Bernalillo Active 07/31/1994 09/30/2013 2729 Gun Club Rd. SW Albuquerque NM 87105 Bernalillo Active 02/28/1997 09/30/2014 1024 Stanford Dr. NE Albuquerque NM 87106 Bernalillo Expired 05/31/1994 09/30/1997 P.O. Box 7448 Newcomb NM 87455 San Juan Active 06/30/1991 09/30/2013 P.O. Box 3105 Taos NM 87571 Taos Expired 04/30/1999 09/30/2009 3749 B. State Road 14 Santa Fe NM 87508 Santa Fe Retired 05/31/1996 09/30/2012 3112 Tennessee NE Albuquerque NM 87110 Bernalillo Active 08/17/2012 09/30/2013 1601 La Cieneguita Apt. D-5 Santa Fe NM 87507-5665 Santa Fe Active 01/31/2001 09/30/2014 6008 Azuelo NW Albuquerque NM 87120 Bernalillo Retired 07/31/1994 09/30/2008 145 Roberts Dr. Las Cruces NM 88005-3073 Dona Ana Active 09/11/1995 09/30/2014 5708 Euclid Ave. NE Albuquerque NM 87110 Bernalillo Active 02/15/2012 09/30/2013 1146 NW 57th St. Oklahoma City OK 73118-1224 Oklahoma Active 07/23/2007 09/30/2014 1146 NW 57th St. Oklahoma City OK 73118-1224 Oklahoma Active 06/10/2008 09/30/2014 P.O. Box 506 Santa Rosa NM 88435 Guadalupe Upgraded 07/01/2008 09/30/2012 P.O. Box 506 Santa Rosa NM 88435 Guadalupe Active 09/13/2011 09/30/2014 Page 117 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0105411 Lisa Marie Graff 0642 Art Therapist Gail J. Grambling-Harrison 0147921 Clinical Mental Health Counselor (LPCC) Sharon L. Grambo 0131311 Marriage and Family Therapist Elizabeth A. Grant 0129011 Licensed Mental Health Counselor Shannon Rae Grant 005466 Clinical Mental Health Counselor (LPCC) James D. Grapentine 0098801 Professional Mental Health Counselor Pamela J. Grassbaugh 0117671 Licensed Mental Health Counselor Pamela J. Grassbaugh 0145801 Alcohol and Drug Counselor Pamela J. Grassbaugh 0124671 Clinical Mental Health Counselor (LPCC) Amy Dion Graves 1815 Substance Abuse Associate Patricia S. Graves 0091071 Clinical Mental Health Counselor (LPCC) Amber Elizabeth Lynn Gray 0115441 Clinical Mental Health Counselor (LPCC) Bobby Dennis Gray 0643 Licensed Mental Health Counselor Marilyn L. Grayson 3411 Clinical Mental Health Counselor (LPCC) Alison D. Green Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2509 Calle Delfino Santa Fe NM 87505 Santa Fe Active 07/13/2007 09/30/2014 467 Camino Arco Iris Corrales NM 87048 Sandoval Active 06/30/1994 09/30/2014 1827 Manning Avenue, #6 Los Angeles CA 90025 Los Angeles Active 03/19/2012 09/30/2013 21 Calle de Los Alamos Santa Fe NM 87506 Santa Fe Active 04/12/2010 09/30/2013 5831 Burgos Ave. NW Albuquerque NM 87114 Bernalillo Active 01/25/2010 09/30/2013 3705 Big Sky Drive NE Albuquerque NM 87111 Bernalillo Active 07/31/2000 09/30/2014 43 Latigo Trail Silver City NM 88061 Grant Expired 12/05/2006 09/30/2009 43 Latigo Trail Silver City NM 88061 Grant Active 10/20/2008 09/30/2014 43 Latigo Trail Silver City NM 88061 Grant Active 12/23/2011 09/30/2013 1522 E. Albertson Hobbs NM 88240 Lea Active 07/21/2009 09/30/2013 P.O. Box 1073 T OR C, NM 87901 Sierra Active 08/30/1994 09/30/2013 118 Temblon Street Santa Fe NM 87501 Santa Fe Active 03/14/2006 09/30/2013 1000N. Linam, Apt.2 Hobbs NM 88240 Lea Active 07/22/2008 09/30/2014 3009 Wilson NE Albuquerque NM 87106 Bernalillo Expired 06/30/1994 09/30/2009 1404 Jefferson NE Albuquerque NM 87110 Bernalillo Expired 11/30/1996 09/30/2003 Page 118 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005618 Carolyn M. Green 1766 Clinical Mental Health Counselor (LPCC) Fleur D. Green 0144991 Clinical Mental Health Counselor (LPCC) Nicole T. Green 0102531 Licensed Mental Health Counselor Nomi Patricia E. Green 1416 Clinical Mental Health Counselor (LPCC) Patricia O. Green 1525 Clinical Mental Health Counselor (LPCC) Scarlett Green 0154941 Clinical Mental Health Counselor (LPCC) Cami Lee Greenfield 0147291 Clinical Mental Health Counselor (LPCC) Shannan M. Greenlee 0154361 Temporary License Shannan M. Greenlee 0139401 Temporary License Julianna V. Greer 0127001 Clinical Mental Health Counselor (LPCC) Patti C. Greer 0072291 Clinical Mental Health Counselor (LPCC) Nancy J. Gregory 0080231 Clinical Mental Health Counselor (LPCC) Robin C. Gress 4852 Professional Mental Health Counselor Elias Griego 0147831 Licensed Mental Health Counselor Erica M. Griego Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5615 Estrellita Del NorteNE Albuquerque NM 87111 Bernalillo Active 06/30/2001 09/30/2014 P.O. Box 613 Tesuque NM 87574 Santa Fe Retired 09/30/1994 09/30/2008 413 Vista Roja Pl. NE Rio Rancho NM 87124 Sandoval Active 11/21/2011 09/30/2013 11 Calle Medico suite 5 Santa Fe NM 87505 1678 Tierra Del Rio NW Albuquerque NM 87107 Santa Fe Active 04/09/2007 09/30/2014 Bernalillo Active 06/30/1994 09/30/2014 P.O. Box 31022 Santa Fe NM 87594-1020 Santa Fe Active 12/31/1997 09/30/2013 400 Leeward Drive NW Albuquerque NM 87121 Bernalillo Active 11/16/2012 09/30/2014 999 Calle Feliz Santa Fe NM 87507 Santa Fe Null and Void 02/15/2012 09/30/2012 999 Calle Feliz Santa Fe NM 87507 Santa Fe Active 10/23/2012 05/31/2013 2800 W. Pine Street Deming NM 88030 Luna Active 04/15/2011 09/30/2014 25 Tumbleweed trail La Luz NM 88337 Otero Active 10/26/2009 09/30/2013 P.O. Box 115 Buckhorn NM 88025 Grant Active 03/31/2004 09/30/2013 637 Camino Lejo Santa Fe NM 87505 Santa Fe Active 03/17/2005 09/30/2014 # 25 Edgewood Edgewood NM 87015 Santa Fe Active 12/31/1998 09/30/2014 1212 Georgene Dr. NE Albuquerque NM 87112 Bernalillo Null and Void 03/13/2012 10/31/2012 Page 119 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154051 Erica M. Griego 0600 Temporary License Henrietta M. Griego 3729 Professional Mental Health Counselor Mary J. Griego 0154211 Alcohol and Drug Counselor Frederick Griesbacher 005677 Temporary License Jill C. Griffin 3399 Alcohol and Drug Counselor Marsha R. Griffin 0103471 Clinical Mental Health Counselor (LPCC) Raymond D. Griffin 1702 Licensed Mental Health Counselor Terry P. Griffin 0067842 Clinical Mental Health Counselor (LPCC) Timothy S. Griffin 0146211 Alcohol and Drug Counselor Trudi A. Griffin 0064641 Licensed Mental Health Counselor Jeffrey R. Griffith 0108111 Licensed Mental Health Counselor David Paul Griffo 0095941 Licensed Mental Health Counselor Jill H Griggs 0154401 Licensed Mental Health Counselor Jill H Griggs 0092 Temporary License Gary S. Grimm Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1212 Georgene Dr. NE Albuquerque NM 87112 Bernalillo Active 10/11/2012 05/31/2013 P.O. Box 2171 Las Vegas NM 87701 San Miguel Active 06/30/1994 09/30/2014 PO Box 1948 Las Vegas NM 87701 San Miguel Active 04/30/1997 09/30/2013 3806 Palomas Drive NE Albuquerque NM 87110 Bernalillo Active 10/17/2012 05/31/2013 929 Acequia Madre Santa Fe NM 87505-2885 Santa Fe Active 02/28/2001 09/30/2013 P.O. Box 406 Alamogordo NM 88311 Otero Active 12/31/1998 09/30/2013 511 Sierra SE Albuquerque NM 87108-3374 Bernalillo Active 05/07/2007 09/30/2014 11 Plesasant View Belen NM 87002 Valencia Active 07/31/1994 09/30/2014 1201 Madeira Dr. SE Apt.124 Albuquerque NM 87108 Bernalillo Active 08/31/2003 09/30/2014 PO Box 1117 Red Oak TX 75154 Ellis Active 01/13/2012 09/30/2013 209 Columbia Drive SE Apt. 21 Albuquerque NM 87106 Bernalillo Active 11/30/2002 09/30/2013 2888 Calle de Pinos Altos Santa Fe NM 87507 Santa Fe Active 10/04/2007 09/30/2014 4700 Lacy Spine Road NW Albuquerque NM 87114 Bernalillo Active 08/29/2006 09/30/2013 4700 Lacy Spine Road NW Albuquerque NM 87114 Bernalillo Active 10/24/2012 05/31/2013 P.O. Box 9006 Santa Fe NM 87504 Santa Fe Active 05/31/1994 09/30/2014 Page 120 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1348 Archie Grine 0123791 Clinical Mental Health Counselor (LPCC) Lisa E. Grinnell 0137611 Clinical Mental Health Counselor (LPCC) Lynn L. Groff 005866 Clinical Mental Health Counselor (LPCC) Millie L. Gross 0190 Marriage and Family Therapist Bruce M. Grossman 0135741 Clinical Mental Health Counselor (LPCC) Joshua T. Grothaus 0093871 Licensed Mental Health Counselor Kerin K. Groves 0113121 Clinical Mental Health Counselor (LPCC) Guardian Angels LLC 2493 CEU Provider Certificate Delcia M. Gudgel 0143001 Clinical Mental Health Counselor (LPCC) Hilda Guerra 0093261 Temporary License Guidance Center of Lea Co. Inc. 0755 CEU Provider Certificate Cheryl A. Guild 1948 Clinical Mental Health Counselor (LPCC) Merry C. Guild 0109881 Clinical Mental Health Counselor (LPCC) Ana M. Guldan 2100 Clinical Mental Health Counselor (LPCC) Verjeana F. Gurley Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10417 San Jacinto Ave. NE Albuquerque NM 87112 Bernalillo Active 12/31/1994 09/30/2014 3824 Tundra Swan Ct. NW Albuquerque NM 87120 Bernalillo Active 06/17/2009 09/30/2013 730 Sterling Drive San Leandro CA 94578 Alameda Active 01/27/2011 09/30/2014 P.O. Box 1925 Espanola NM 87532 Rio Arriba Active 04/11/2008 09/30/2014 631 Kit Carson Rd. Taos NM 87571 Taos Active 06/30/1994 09/30/2014 1822 Somervell St. NE Albuquerque NM 87112-2836 Bernalillo Active 10/25/2010 09/30/2014 7920 Mountain Road NE Albuquerque NM 87110 Bernalillo Active 06/26/2006 09/30/2013 2 Chamisa Drive N suite B Santa Fe NM 87508 Santa Fe Expired 04/28/2008 09/30/2009 P.O. Box 2171 Ruidoso NM 88355 Lincoln Active 09/30/1994 09/30/2013 3620 La Cuesta El Paso TX 79925 El Paso Active 09/09/2011 04/30/2012 920 W. Brodway Hobbs NM 88240 Lea Active 06/07/2006 09/30/2013 3808 Andrew Drive NE Albuquerque NM 87110-1329 Bernalillo Active 06/30/1994 09/30/2013 904 Truman Street NE Albuquerque NM 87110 Bernalillo Active 05/31/1998 09/30/2014 P.O. Box 64 Alcalde NM 87511 Rio Arriba Active 12/13/2007 09/30/2013 P.O. Box 10361 Albuquerque NM 87184 Bernalillo Active 11/30/1994 09/30/2014 Page 121 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0108771 Guru Terath K. Khalsa,PH.D 0148681 CEU Provider Certificate Anna Marie A. Gutierrez 0149841 Licensed Mental Health Counselor Dolores A Gutierrez 0153691 Temporary License Jeannette Alicia Gutierrez 0150891 Temporary License Jeannie L. Gutierrez 0146611 Temporary License Lynda R. Gutierrez 0149231 Licensed Mental Health Counselor Manuel Gutierrez 0154481 Temporary License Manuel Gutierrez 0121611 Temporary License Mary Therese Gutierrez 0144311 Licensed Mental Health Counselor Mary Therese Gutierrez 0130101 Marriage and Family Therapist Pamela A. Gutierrez 0132951 Alcohol and Drug Counselor Rhonda Rochelle Gutierrez 006151 Clinical Mental Health Counselor (LPCC) Tara Lynn Gutierrez 0139441 Clinical Mental Health Counselor (LPCC) Gregory D. Gutin 0104241 Licensed Mental Health Counselor Felipe A. Guzman Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 845 Santa Cruz NM 87567 Santa Fe Expired 10/29/2007 09/30/2009 PO Box 935 Espanola NM 87532 Rio Arriba Active 03/30/2012 09/30/2013 2924 Devils Towa El Paso TX 79904 El Paso Active 05/07/2012 03/31/2013 3153 Amarillo El Paso TX 79936 El Paso Active 09/25/2012 04/30/2013 2401 Calle Alegre Las Vegas NM 87701 San Miguel Active 06/19/2012 01/31/2013 9513 Guitierrez Rd. NE Albuquerque NM 87111 Bernalillo Active 01/24/2012 09/30/2013 233 Placida El Paso TX 79932 El Paso Null and Void 04/17/2012 11/30/2012 233 Placida El Paso TX 79932 El Paso Active 10/29/2012 05/31/2013 5232 Singer Road Las Cruces NM 88007 Dona Ana Active 03/16/2009 09/30/2013 5232 Singer Road Las Cruces NM 88007 Dona Ana Active 10/19/2011 09/30/2013 209 Dolores SW Albuquerque NM 87121 Bernalillo Active 02/26/2010 09/30/2013 P.O. Box 300 Santa Rosa NM 88435 Guadalupe Active 06/16/2010 09/30/2013 1719 Hermosa Drive NE Albuquerque NM 87110 Bernalillo Active 12/31/2002 09/30/2013 1601 Jay St. Santa Fe NM 87505 Santa Fe Active 04/18/2011 09/30/2014 1680 Valencia Dr. Las Cruces NM 88001 Dona Ana Active 06/01/2007 09/30/2014 Page 122 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0092061 Jacqulyn Hachez 4550 Clinical Mental Health Counselor (LPCC) Rebecca M. Haftehnani 0216 Licensed Mental Health Counselor Dianne F. Hagan 1215 Professional Mental Health Counselor Gail Lorraine Hager 0936 Clinical Mental Health Counselor (LPCC) Johnnie Hairston 4040 Clinical Mental Health Counselor (LPCC) Patricia K. Halama 4285 Clinical Mental Health Counselor (LPCC) Patricia K. Halama 0094021 Alcohol and Drug Counselor Victoria K. Halbert 4481 Clinical Mental Health Counselor (LPCC) Hilary Tara Hale 0119881 Clinical Mental Health Counselor (LPCC) Evelyn DeAnn Hall 0090281 Clinical Mental Health Counselor (LPCC) Linda (Lynn) Karen Hall 0802 Professional Mental Health Counselor Philip A. Hall 0075641 Clinical Mental Health Counselor (LPCC) Dawn M. Halperin 1025 Clinical Mental Health Counselor (LPCC) Deborah C. Halpern 006023 Clinical Mental Health Counselor (LPCC) Susan P. Halvorsen Art Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3900 Juan Tabo NE Ste 14 Albuquerque NM 87111 Bernalillo Expired 04/14/2006 09/30/2009 12320 Tierra Baja Way El Paso TX 79938 El Paso Active 03/31/1998 09/30/2014 P.O. Box 465 Mountainair NM 87036 Torrance Expired 05/31/1994 09/30/2008 12197 Caminito Mira Del Mar San Diego CA 92130 San Diego Active 06/30/1994 09/30/2013 3208 N. Richardson Roswell NM 88201 Chaves Expired 07/31/1994 09/30/2008 4605 Sunny Circle SW Albuquerque NM 87105 Bernalillo Active 04/30/1997 09/30/2014 4605 Sunny Circle SW Albuquerque NM 87105 Bernalillo Active 01/31/1999 09/30/2013 4501 Morris St. NE Apt. 286 Albuquerque NM 87111 Bernalillo Active 06/30/2006 09/30/2013 8017 Corona Avenue NE Albuquerque NM 87122 Bernalillo Active 08/28/1999 09/30/2013 3 Calle de Rinconada Ranchos de Taos NM 87557 Taos Active 01/22/2009 09/30/2013 800 E. Camino Diestro Tucson AZ 85704 Pima Active 02/16/2006 09/30/2013 12200 Montgomery Blvd. NE, APT. I204 Albuquerque NM 87111 1009 Lead Ave SW Albuquerque NM 87102 Bernalillo Active 06/30/1994 09/30/2014 Bernalillo Active 09/14/2004 09/30/2013 P.O. Box 26 Angel Fire NM 87710 Colfax Active 07/31/1994 09/30/2013 415 Nazario St. Santa Fe NM 87501 Santa Fe Active 01/31/2002 09/30/2013 Page 123 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 006024 Susan P. Halvorsen 1962 Marriage and Family Therapist Diana L. Hamilton 0138681 Professional Mental Health Counselor Donald W. Hamilton 0140851 Licensed Mental Health Counselor Therese Joan Hamilton 0153261 Clinical Mental Health Counselor (LPCC) Kelly L. Hamlin 0888 Clinical Mental Health Counselor (LPCC) Penelope A. Hamlin 1530 Professional Mental Health Counselor Ann E. Hammond, Ph.D. 0137531 Professional Mental Health Counselor Linda Ann Hammond 0150341 Clinical Mental Health Counselor (LPCC) Debra J. Hampton 0088421 Substance Abuse Associate Kim J. Hamstra 0137511 Clinical Mental Health Counselor (LPCC) Beth Ellen Hancock 0145601 Licensed Mental Health Counselor Stephan K. Hancock 0146591 Substance Abuse Associate Gretchen D. Hanks 0145711 Licensed Mental Health Counselor Tinellya L. Hannah 0117741 Substance Abuse Associate Gail Carol (McInnis) Hanscom Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 415 Nazario St. Santa Fe NM 87501 Santa Fe Active 03/31/2002 09/30/2014 1602 Arizona Ave. Alamogordo NM 88310 Otero Active 08/30/1994 09/30/2014 1900 Moon St. NE Albuquerque NM 87112 Bernalillo Active 03/18/2011 09/30/2014 9975 Sallee Rd. Las Cruces NM 88011 Dona Ana Active 06/16/2011 09/30/2014 12200 Academy Rd. NE #114 Albuquerque NM 87111 Bernalillo Active 09/10/2012 09/30/2013 1621 Tommy Aaron El Paso TX 79936 El Paso Retired 06/30/1994 09/30/2008 13223 Emery Point Avenue NE Albuquerque NM 87111 Bernalillo Active 08/30/1994 09/30/2014 59 Acadia Court Rio Rancho NM 87124 Sandoval Active 01/24/2011 09/30/2014 919 Franklin St. Carlsbad NM 88220 Eddy Active 05/31/2012 09/30/2014 P.O. Box 761 Arroyo Seco NM 87514 Taos Active 12/13/2005 09/30/2014 747 Terracotta Pl. SW Albuquerque NM 87121 Bernalillo Active 01/24/2011 09/30/2014 PO Box 932 Tyrone NM 88065 Grant Active 12/19/2011 09/30/2013 1004 Brazos Ct. SE Albuquerque NM 87123 Bernalillo Active 01/23/2012 09/30/2013 945 S. Mesa Hills Dr. Apt. 3811 El Paso TX 79912 El Paso Active 12/21/2011 09/30/2013 1116 Desert Paintbrush Lp. Rio Rancho NM 87144-2605 Sandoval Active 10/24/2008 09/30/2014 Page 124 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0150491 Jessica J. Hansen 0109921 Clinical Mental Health Counselor (LPCC) Melissa Ruth Harbert 0130571 Licensed Mental Health Counselor Melissa Ruth Harbert 0364 Clinical Mental Health Counselor (LPCC) Iola W. Harding 0073851 Professional Mental Health Counselor Rachelle D. Harjo 2248 Clinical Mental Health Counselor (LPCC) Joyce McGill Harkwell 2249 Clinical Mental Health Counselor (LPCC) Denise E. Harmon 0067322 Clinical Mental Health Counselor (LPCC) Julie A. Harp 0135121 Professional Mental Health Counselor Daubney M Harper 0100361 Licensed Mental Health Counselor Linda C. Harrington 0142201 Licensed Mental Health Counselor Sandra L. Harrington 0107111 Clinical Mental Health Counselor (LPCC) Tewana Malishe Harris Bell 0131421 Licensed Mental Health Counselor Christine Marie Harris 0076001 Clinical Mental Health Counselor (LPCC) Judith Ann Harris 0133701 Clinical Mental Health Counselor (LPCC) Kristapher L. Harris Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1940 Majestic Cir. Steubenville OH 43952 Jefferson Active 06/06/2012 09/30/2013 2229 NE Burnside Rd. PMB 238 Gresham OR 97030 Multnomah Expired 12/13/2007 09/30/2009 2229 NE Burnside Rd. PMB 238 Gresham OR 97030 Multnomah Active 03/22/2010 09/30/2013 13312 Sunset Drive NE Albuquerque NM 87111 Bernalillo Expired 05/31/1994 09/30/1996 7250 Falcon Ridge Edmond OK 73034 Oklahoma Active 06/02/2004 09/30/2013 537 Black Bear Rd. NE Albuquerque NM 87122 Bernalillo Active 09/30/1994 09/30/2014 1104 Calle Del Sol NE Albuquerque NM 87106 Bernalillo Active 09/30/1994 09/30/2013 2400 Don Felipe SW Albuquerque NM 87105 Bernalillo Active 07/31/2003 09/30/2014 251 N. Roadrunner Pkwy, Apt. #1902 Las Cruces NM 88011 Dona Ana Active 09/20/2010 09/30/2014 12 Manzano Road Corrales NM 87048 Sandoval Active 01/31/2007 09/30/2014 P.O. Box 873 Questa NM 87556 Taos Active 08/05/2011 09/30/2014 10320 Paso Fino Pl SW Albuquerque NM 87121 Bernalillo Active 09/05/2007 09/30/2013 11415 Manitoba St NE Albuquerque NM 87111 Bernalillo Active 04/15/2010 09/30/2013 20 Williams Blvd. Edgewood NM 87015 Santa Fe Active 09/20/2004 09/30/2013 4601 Paradise Blvd NW Ste G Albuquerque NM 87114 Bernalillo Active 07/22/2010 09/30/2013 Page 125 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0126911 Robert Alonzo Harris 0140771 Alcohol and Drug Counselor Rosielee B. Harris 0147571 Temporary License Rosielee B. Harris 0080601 Temporary License Susan N. Harris 0130841 Clinical Mental Health Counselor (LPCC) Tanya C. Harris 4518 Licensed Mental Health Counselor Charles S. Harrison 3383 Substance Abuse Associate Joelle C. Harrison 1534 Clinical Mental Health Counselor (LPCC) Marvel E. Harrison 0067922 Clinical Mental Health Counselor (LPCC) Michael J. Harrison 2108 Clinical Mental Health Counselor (LPCC) Kathleen M. Hart 0080221 Clinical Mental Health Counselor (LPCC) Peggy L. Harter 0148141 Clinical Mental Health Counselor (LPCC) Melanie L. Harth 005630 Licensed Mental Health Counselor Ingrid Hartman 0106841 Clinical Mental Health Counselor (LPCC) Pamela Jo Hartman 005699 Clinical Mental Health Counselor (LPCC) Jonathan E. Hartshorne Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2104 Joy Lynn Bloomfield NM 87413 San Juan Active 10/23/2009 09/30/2013 10400 Universe Blvd NW Apt 311 Albuquerque NM 87114 Bernalillo Null and Void 06/14/2011 03/31/2012 10400 Universe Blvd NW Apt 311 Albuquerque NM 87114 Bernalillo Active 02/29/2012 12/31/2012 3317 La Avenue de San Marcos Santa Fe NM 87507 Santa Fe Active 03/29/2005 09/30/2014 575 Hermit Falls Dr. SE Rio Rancho NM 87124 Sandoval Active 03/31/2010 09/30/2013 418 N 300 W 120-7 Blanding UT 84511 San Juan Active 01/31/1999 09/30/2014 8901 San Diego Avenue NE Albuquerque NM 87122 Bernalillo Active 01/31/1997 09/30/2013 199 San Ildefonso Road Los Alamos NM 87544 Los Alamos Active 07/31/1994 09/30/2014 11212 Snowheights NE Albuquerque NM 87112 Bernalillo Active 09/30/2003 09/30/2014 4801 Haines NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 8016 Monte Carlo NW Albuquerque NM 87120 Bernalillo Active 03/17/2005 09/30/2014 PO Box 2531 Santa Fe NM 87504 Santa Fe Active 03/21/2012 09/30/2013 108 South Drive Fairhope AL 36532 Baldwin Retired 06/30/2001 09/30/2012 P.O. Box 132 Corona NM 88318 Lincoln Active 08/22/2007 09/30/2014 3200 Carlisle NE Suite 129 Albuquerque NM 87110 Bernalillo Active 02/28/2002 09/30/2013 Page 126 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 619 Sarah M. Hartshorne 0143191 Clinical Mental Health Counselor (LPCC) Nicole M. Hartson 005456 Clinical Mental Health Counselor (LPCC) Daphne D. Harvey-Strader 0090981 Clinical Mental Health Counselor (LPCC) Karen J Harvey 0094971 Licensed Mental Health Counselor Karen J Harvey 0122971 Substance Abuse Associate Lisa K. Harvey 0440 Clinical Mental Health Counselor (LPCC) Puanani Garrison Harvey, PHD 0095111 Clinical Mental Health Counselor (LPCC) Taylor Haskell 1028 Clinical Mental Health Counselor (LPCC) Molly (Mary). G. Hastings 0093331 Clinical Mental Health Counselor (LPCC) James Andrew Hatfield 1217 Clinical Mental Health Counselor (LPCC) Diane K. Haug 0097881 Clinical Mental Health Counselor (LPCC) Susan M Haugen-Bassett 0121831 Clinical Mental Health Counselor (LPCC) Susan M Haugen-Bassett 0062712 Substance Abuse Associate Karen Rae Haughness 0137 Clinical Mental Health Counselor (LPCC) Laurel A. Hause Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2805 Palomas NE Albuquerque NM 87110 Bernalillo Active 12/31/1996 09/30/2013 7219 Senecu Court NW Albuquerque NM 87114 Bernalillo Active 09/14/2011 09/30/2013 1305 Los Arboles Ave. NW Albuquerque NM 87107 Bernalillo Active 06/30/2000 09/30/2014 7120 Cabin Ct. NW Albuquerque NM 87120 Bernalillo Active 03/14/2006 09/30/2013 7120 Cabin Ct. NW Albuquerque NM 87120 Bernalillo Active 08/02/2006 09/30/2013 2337 Valencia NE Albuquerque NM 87110 Bernalillo Active 05/18/2009 09/30/2013 172 County Road 113 Santa Fe NM 87506 Santa Fe Active 06/30/1994 09/30/2014 3503 Buena Vista Ave Farmington NM 87401 San Juan Active 08/03/2006 09/30/2013 2 Alegre Drive NE Albuquerque NM 87123 Bernalillo Active 09/30/1994 09/30/2014 405 Green Acres Bosque Farms NM 87068 Valencia Active 06/11/2006 09/30/2013 39 Camino La Cueva Glorieta NM 87535 Santa Fe Active 09/30/1994 09/30/2013 312 Valverde St. Taos NM 87571 Taos Active 11/02/2006 09/30/2013 312 Valverde St. Taos NM 87571 Taos Active 03/19/2009 09/30/2013 P.O. Box 97 Capitan NM 88316 Lincoln Active 12/31/2002 09/30/2014 2811 Indian School Albuquerque NM 87106 Bernalillo Active 06/30/1994 09/30/2013 Page 127 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3364 Nancy Susan Haverkos 0144291 Clinical Mental Health Counselor (LPCC) Robert N. Hawk 0152441 Licensed Mental Health Counselor Andrea L. Hawkins 0153571 Temporary License Elizabeth T Hawkins 0110521 Substance Abuse Associate Gaye Marie Hawkins 0156161 Clinical Mental Health Counselor (LPCC) Julie L. Hawkins 3231 Temporary License Helena S. Hawley-Grano 0078051 Clinical Mental Health Counselor (LPCC) Vanessa L. Haye-Porter 7104 Clinical Mental Health Counselor (LPCC) Bernice L. Hayes 0140461 Clinical Mental Health Counselor (LPCC) Mayra E. Haynes 0154611 Marriage and Family Therapist Sally Anne Haynes 0067552 Temporary License Monica Ann Haynie 0414 Licensed Mental Health Counselor Nancy K. Hazen 0149721 Marriage and Family Therapist Eva R. Hazlett-Sanchez 0095931 Licensed Mental Health Counselor Donna Jean Hazlitt Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 415 Sunset St. Apt. G Santa Fe NM 87501 Santa Fe Active 12/31/1999 09/30/2014 26 Rd. 6050 Farmington NM 87401 San Juan Active 10/18/2011 09/30/2013 5212 Arvilla Ave. NE Albuquerque NM 87110 Bernalillo Active 08/21/2012 03/31/2013 7005 Avenida La Costa Albuquerque NM 87109 Bernalillo Active 09/20/2012 09/30/2013 HC-74 Box 21007 El Prado NM 87529 Taos Active 01/23/2008 09/30/2013 223 N. Guadalupe PMB 164 Santa Fe NM 87501 Santa Fe Active 01/11/2013 08/31/2013 301 South 3rd Street Raton NM 87740 Colfax Active 11/30/1996 09/30/2013 405 Palomas NE Albuquerque NM 87108 Bernalillo Active 12/16/2004 09/30/2013 8033 Snow Ave NE Albuquerque NM 87110 Bernalillo Active 09/30/1994 09/30/2014 2137 Vista De Colinas Dr. SE Rio Rancho NM 87124 Sandoval Active 06/01/2011 09/30/2014 26 N. Warpath St. Hobbs NM 88240 Lea Active 10/30/2012 05/31/2013 1724 Anita Dr. Las Cruces NM 88001-2024 Dona Ana Active 08/31/2003 09/30/2014 HCR 74 Box 20709 El Prado NM 87529 Taos Active 06/30/1994 09/30/2014 4850 Ice Cave Rd. Grants NM 87020 Cibola Active 05/01/2012 09/30/2013 209 Raven Rd. Tijeras NM 87059 Bernalillo Active 08/29/2006 09/30/2013 Page 128 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0138131 Cheryl Leigh Head 0087381 Clinical Mental Health Counselor (LPCC) Tawn E. Head 5316 Clinical Mental Health Counselor (LPCC) Thomas McDougall Heady 0094631 Licensed Mental Health Counselor Frances Healey 0089201 Licensed Mental Health Counselor Stasia Healingbear 0070361 Clinical Mental Health Counselor (LPCC) Health Education Network, LLC 0111741 CEU Provider Certificate Bobby S. Heard 0066492 Alcohol and Drug Counselor Little Sun S. Heard 0074691 Clinical Mental Health Counselor (LPCC) Christine Marie Hearn 0100121 Clinical Mental Health Counselor (LPCC) Manuela Heberle 0937 Professional Mental Health Counselor Patricia C. Heck 0123721 Clinical Mental Health Counselor (LPCC) Candace Calhoun Heffelfinger 4039 Licensed Mental Health Counselor Joan A. Heiden 0120501 Clinical Mental Health Counselor (LPCC) Deborah Raye Heikes 0135411 Clinical Mental Health Counselor (LPCC) Esther L. Hein Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date HC 71, Box 345 Hanover NM 88041 Grant Active 02/23/2011 09/30/2014 13145 Neon Ave. NE Albuquerque NM 87112 Bernalillo Active 10/20/2005 09/30/2014 3904 Hilton Ave NE Albuquerque NM 87110 Bernalillo Active 06/30/2000 09/30/2014 40 Sloman Lane Santa Fe NM 87507 Santa Fe Active 07/21/2006 09/30/2013 PO Box 52171 Albuquerque NM 87181 Bernalillo Active 01/11/2006 09/30/2013 304 Gray St., Ste. 201 Eau Claire WI 54701 Eau Claire Active 01/31/2004 09/30/2013 2404 N. Grande Ave. Apt. A Roswell NM 88201 Chaves Active 02/26/2008 09/30/2014 506 Cordova Avenue NW #11 Albuquerque NM 87107 Bernalillo Active 05/31/2003 09/30/2014 13108 Summer Place NE Albuquerque NM 87112 Bernalillo Active 07/22/2004 09/30/2013 2735 Birdie Loop Alamogordo NM 88310 Otero Active 01/17/2007 09/30/2014 P.O.B. 2361 Silver City NM 88062-2361 Grant Active 09/30/1994 09/30/2013 P.O. Box 97 Tijeras NM 87059 Bernalillo Active 06/16/2009 09/30/2013 150 Mesa Verde Santa Fe NM 87501 Santa Fe Active 12/31/1997 09/30/2014 2913 Camino Del Bosque Santa Fe NM 87507 Santa Fe Active 02/16/2009 09/30/2014 77 Diablo Drive Alamogordo NM 88310 Otero Active 10/13/2010 09/30/2014 Page 129 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0126921 Laura Kalei Heinis 116 Licensed Mental Health Counselor Marion Heisey 0294 Marriage and Family Therapist Marion Heisey 3916 Clinical Mental Health Counselor (LPCC) Amara M. Heising 0073891 Alcohol and Drug Counselor Amara M. Heising 0121061 Marriage and Family Therapist Helene Silverblatt 0070121 CEU Provider Certificate Helene Stilman 0069551 CEU Provider Certificate Angela S. Helewicz 0105851 Licensed Mental Health Counselor Christine D. Helgert 3801 Alcohol and Drug Counselor James G. Helgert 0155921 Alcohol and Drug Counselor James G. Helgert 0109621 Clinical Mental Health Counselor (LPCC) Melinda Lee Heller Nellos 1419 Clinical Mental Health Counselor (LPCC) Barbara D. Henderson 2529 Professional Mental Health Counselor Lyn M. Henderson 0134671 Professional Mental Health Counselor Natalie M. Henderson Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3005 Mason Meadows Dr. NE Rio Rancho NM 87144 Sandoval Active 10/23/2009 09/30/2013 10 Brent Drive Edgewood NM 87015 Santa Fe Retired 07/31/1995 09/30/2012 10 Brent Drive Edgewood NM 87015 Santa Fe Retired 05/31/1994 09/30/2012 P.O. Box 906 Peralta NM 87042 Valencia Active 01/31/1997 09/30/2014 P.O. Box 906 Peralta NM 87042 Valencia Active 06/07/2004 09/30/2013 MSC09-5030, 1 University of New Mexico Albuquerque NM 87131 13528 Terragon Dr. NE Albuquerque NM 87112 Bernalillo Expired 03/03/2009 09/30/2009 Bernalillo Active 01/31/2003 03/30/2007 1384 Tiffany Lane SE Rio Rancho NM 87124 Sandoval Active 12/31/2003 09/30/2013 P.O. Box 985 Silver City NM 88062 Grant Active 07/23/2007 09/30/2014 P.O. Box 985 Silver City NM 88062 Grant Active 01/31/2000 09/30/2013 P.O. Box 985 Silver City NM 88062 Grant Active 01/02/2013 09/30/2014 1337 Arvilla Avenue NW Albuquerque NM 87107 Bernalillo Active 12/04/2007 09/30/2013 12 La Rosa Court Los Alamos NM 87544 Los Alamos Retired 07/31/1994 09/30/2009 1613 Fairway Terrace Clovis NM 88101 Curry Expired 10/31/1994 09/30/2009 804 South Avenue A Portales NM 88130 Roosevelt Active 08/30/2010 09/30/2013 Page 130 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0134171 Carly R Hendrickson 0152881 Licensed Mental Health Counselor Carly R Hendrickson 0142971 Temporary License Renee A. Hendrix 0141271 Clinical Mental Health Counselor (LPCC) Caitlin R Henke Licensed Mental Health Counselor 1539 Robert K. Hennelly 0087571 Clinical Mental Health Counselor (LPCC) Patricia Mari Hennessey 0099431 Clinical Mental Health Counselor (LPCC) Carol G. Henry 1150 Clinical Mental Health Counselor (LPCC) Bernard Herman 0069212 Clinical Mental Health Counselor (LPCC) Kirsten L. Hermann 006033 Marriage and Family Therapist Heidi Hermansen 4095 Clinical Mental Health Counselor (LPCC) Susan M. Hermes 2816 Art Therapist Anne P. Hernandez 2817 Clinical Mental Health Counselor (LPCC) Anne P. Hernandez 005787 Marriage and Family Therapist Carolina Hernandez Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1236 Girard Blvd. NE Albuquerque NM 87106 Bernalillo Active 08/11/2010 09/30/2013 1236 Girard Blvd. NE Albuquerque NM 87106 Bernalillo Active 08/29/2012 03/31/2013 3752 Mount Rainier Drive NE Albuquerque NM 87111 Bernalillo Active 09/09/2011 09/30/2014 The University of New Mexico Bernalillo Student Services RM 220, 1University of NM Albuquerque NM 87131 2916 Calle Dercha Santa Fe Santa Fe NM 87505 Active 06/29/2011 09/30/2014 Active 11/30/1994 09/30/2014 5728 Carmen Rd. NW Albuquerque NM 87114 Bernalillo Active 10/27/2005 09/30/2014 1824 Junes Street NE Albuquerque NM 87112 Bernalillo Active 12/22/2006 09/30/2013 3812 Mount Rainier Dr. NE Albuquerque NM 87111 Bernalillo Active 09/30/1994 09/30/2014 111 Carey Road Corrales NM 87048 Sandoval Active 12/31/2003 09/30/2014 4937 Mills Drive Anchorage AK 99508 Anchorage Active 08/31/2002 09/30/2013 2515 Vista Larga NE Albuquerque NM 87106 Bernalillo Active 01/31/2000 09/30/2013 1711 S. Polk Amarillo TX 79102 Potter Active 11/30/1994 09/30/2014 1711 S. Polk Amarillo TX 79102 Potter Active 07/31/1995 09/30/2013 300 Villa Canto El Paso TX 79912 El Paso Expired 03/31/2001 09/30/2009 Page 131 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0112401 Carolina Hernandez 0133251 Clinical Mental Health Counselor (LPCC) Graciela Z. Hernandez 0153611 Licensed Mental Health Counselor Hector M. Hernandez 0129821 Licensed Mental Health Counselor Irma G. Hernandez 0135151 Temporary License Julie A. Hernandez 0126471 Clinical Mental Health Counselor (LPCC) Miguel Munoz Hernandez 0148511 Substance Abuse Associate Miguel Munoz Hernandez 0155021 Temporary License Miguel Munoz Hernandez 0155681 Temporary License Miguel Munoz Hernandez 0152131 Temporary License Novella G. Hernandez 0100671 Alcohol and Drug Counselor Sandra Ann Hernandez 0147881 Licensed Mental Health Counselor Sarahi Hernandez 0122701 Licensed Mental Health Counselor Susan Hernandez 0145731 Temporary License Devon D. Herndon 0152321 Licensed Mental Health Counselor Devon D. Herndon Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 300 Villa Canto El Paso TX 79912 El Paso Active 04/01/2008 09/30/2014 3907 67th Street NW Albuquerque NM 87120 Bernalillo Active 06/30/2010 09/30/2013 10500 Shannon Pl., A El Paso TX 79925 El Paso Active 09/24/2012 09/30/2014 4403 Nambe Arc Las Cruces NM 88011 Dona Ana Active 02/19/2010 08/30/2010 2944 Valle Vista Las Cruces NM 88011 Dona Ana Active 09/22/2010 09/30/2014 PO Box 13794 Las Cruces NM 88013 Dona Ana Active 10/02/2009 09/30/2013 PO Box 13794 Las Cruces NM 88013 Dona Ana Null and Void 03/29/2012 10/31/2012 PO Box 13794 Las Cruces NM 88013 Dona Ana Active 11/27/2012 06/30/2013 PO Box 13794 Las Cruces NM 88013 Dona Ana Active 12/14/2012 04/30/2013 PO Box 4068 Las Cruces NM 88003 Dona Ana Active 08/14/2012 09/30/2013 4651 Cohen, # 192 El Paso TX 79924 El Paso Expired 02/07/2007 09/30/2008 1983 Crescent Dr. Las Cruces NM 88005 Dona Ana Active 03/15/2012 09/30/2013 914 Chuska Hobbs NM 88240 Lea Active 05/06/2009 11/30/2010 67 Madole Rd. Edgewood NM 87015 Santa Fe Active 12/21/2011 09/30/2013 67 Madole Rd. Edgewood NM 87015 Santa Fe Active 08/17/2012 09/30/2013 Page 132 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153871 Jessica R Herren 0083911 Licensed Mental Health Counselor Carol B. Herrera 0063541 Clinical Mental Health Counselor (LPCC) Gilbert J. Herrera 4227 Substance Abuse Associate James Ernest Herrera 1295 Clinical Mental Health Counselor (LPCC) John D. Herrera 1151 Clinical Mental Health Counselor (LPCC) Joseph H. Herrera 0118781 Professional Mental Health Counselor Vivian N. Herrera, Jr. 0139831 Substance Abuse Associate Larry L. Herrera 0150361 Substance Abuse Associate Sandra Herrera 0155761 Temporary License Sandra Herrera 0085751 Temporary License Roberta Herzenberg 0082831 Alcohol and Drug Counselor Roberta Herzenberg 0148231 Professional Mental Health Counselor Erika A Hess 0153921 Temporary License Erika A Hess 0117751 Temporary License Sherry L. Hettiger Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1421 Lafayette Dr. Albuquerque NM 87106 Bernalillo Active 10/02/2012 09/30/2014 P.O. Box 8192 Santa Fe NM 87504 Santa Fe Retired 07/08/2005 09/30/2012 P.O. Box 484 Dixon NM 87527 Rio Arriba Active 06/30/2002 09/30/2013 904 California St . SE Albuquerque NM 87108 Bernalillo Active 05/31/1998 09/30/2013 1612 Bluffside Place NW Albuquerque NM 87105 Bernalillo Active 06/30/1994 09/30/2013 409 Elizabeth Rd. Roswell NM 88203 Chaves Active 07/31/1994 09/30/2013 P.O. Box 799 Mesilla NM 88046 Dona Ana Active 12/15/2008 09/30/2014 P.O. Box 271 Arroyo Hondo NM 87513 Taos Active 05/09/2011 09/30/2014 PO Box 153934 Irving TX 75015 Dallas Null and Void 05/31/2012 12/31/2012 PO Box 153934 Irving TX 75015 Dallas Active 12/19/2012 07/31/2013 4108 Arapaho Road Santa Fe NM 87507 Santa Fe Active 09/06/2005 09/30/2014 4108 Arapaho Road Santa Fe NM 87507 Santa Fe Active 06/17/2005 09/30/2014 3601 Oasis Springs Rd. Rio Rancho NM 87144 Sandoval Null and Void 03/21/2012 10/31/2012 3601 Oasis Springs Rd. Rio Rancho NM 87144 Sandoval Active 10/04/2012 05/31/2013 266 Tulie Gate Rd. Tularosa NM 88352 Otero Active 10/24/2008 09/30/2014 Page 133 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0120781 Sherry L. Hettiger 0145441 Licensed Mental Health Counselor Sherry L. Hettiger 0151521 Temporary License Sherry L. Hettiger 0155771 Temporary License Sherry L. Hettiger 0115081 Temporary License Susan Marie Heumiller 0120851 Clinical Mental Health Counselor (LPCC) Michele Marie Heyman 0066522 Clinical Mental Health Counselor (LPCC) Catherine Hiesiger 1706 Licensed Mental Health Counselor Richard B. Hiester 1420 Clinical Mental Health Counselor (LPCC) Marla S. Higginbotham 0139361 Professional Mental Health Counselor Marla K. Higgins 0155881 Licensed Mental Health Counselor Marla K. Higgins 1152 Temporary License Janice B. Hightower 5169 Clinical Mental Health Counselor (LPCC) Katherine Hilaire 0102111 Professional Mental Health Counselor Andrea K. Hill 4761 Licensed Mental Health Counselor Christina Kelley Hill Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 266 Tulie Gate Rd. Tularosa NM 88352 Otero Active 02/24/2009 09/30/2014 266 Tulie Gate Rd. Tularosa NM 88352 Otero Null and Void 12/09/2011 07/31/2012 266 Tulie Gate Rd. Tularosa NM 88352 Otero Null and Void 07/13/2012 02/28/2013 266 Tulie Gate Rd. Tularosa NM 88352 Otero Active 12/19/2012 07/31/2013 11 Juego Road Santa Fe NM 87508 Santa Fe Active 07/11/2008 09/30/2014 PO Box 757 Cedar Crest NM 87008 Bernalillo Active 02/25/2009 09/30/2014 369 Montezuma Ave., Ste. 340 Santa Fe NM 87501 Santa Fe Active 05/31/2003 09/30/2014 42 Open Meadow Dr. Tijeras NM 87059 Bernalillo Active 09/30/1994 09/30/2014 603 Bay Meadows Drive Roswell NM 88201 Chaves Active 11/30/1994 09/30/2014 304 Fontana Pl. NE Albuquerque NM 87108 Bernalillo Active 04/15/2011 09/30/2014 304 Fontana Pl. NE Albuquerque NM 87108 Bernalillo Active 12/24/2012 07/31/2013 P.O. Box 86 San Jose NM 87565 San Miguel Active 06/30/1994 09/30/2014 11411 Santa Monica Dr. NE Albuquerque NM 87122 Bernalillo Active 01/31/2000 09/30/2013 327 Andanada Los Alamos NM 87544 Los Alamos Active 03/21/2007 09/30/2014 610 Paseo Corto 610 Paseo Corto Santa Fe NM 87501 Santa Fe Active 01/31/1999 09/30/2013 Page 134 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0147931 Kathleen A. Hill 0127511 Marriage and Family Therapist Robert Verdon Hill 0147081 Substance Abuse Associate Samantha K. Hill 0138991 Licensed Mental Health Counselor Troy Craig Hill 2254 Marriage and Family Therapist Raymond E. Hillis 0148071 Clinical Mental Health Counselor (LPCC) Kila S. Hillman 0078241 Temporary License Sheri Lynn Hilyard 0096191 Alcohol and Drug Counselor Amy M. Himelright 0090961 Clinical Mental Health Counselor (LPCC) Kristin M Himmler 0121631 Clinical Mental Health Counselor (LPCC) Kristin M Himmler 0078031 Marriage and Family Therapist Judy Lynn Hine Vargas 0141591 Clinical Mental Health Counselor (LPCC) Eugene Hinojos 3769 Alcohol and Drug Counselor Mariela Hiscox 2881 Alcohol and Drug Counselor Pamela W. Hodge-Miller 0153471 Clinical Mental Health Counselor (LPCC) Rebekah J. Hodge Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 240 Ambrosio St. Santa Fe NM 87501 Santa Fe Active 03/19/2012 09/30/2013 429 California SE B Albuquerque NM 87108 Bernalillo Active 11/16/2009 09/30/2013 PO Box 6965 Santa Fe NM 87502 Santa Fe Active 02/09/2012 09/30/2013 4601 Forrest Dr. Apt. 502 Carlsbad NM 88220 P.O. Box 217 Saguache CO 81149 Eddy Active 03/30/2011 09/30/2014 Saguache Active 09/30/1994 09/30/2014 PO Box 369 Pecos NM 87552 San Miguel Active 03/20/2012 01/31/2013 12552 No. Valley Drive Las Cruces NM 88007 Dona Ana Active 01/03/2005 09/30/2013 4160 Cholla Rd. Las Cruces NM 88011 Dona Ana Active 09/05/2006 09/30/2013 PSC 808 Box 15 FPO AE 09618 Active 03/14/2006 09/30/2013 PSC 808 Box 15 FPO AE 09618 Active 03/16/2009 09/30/2013 P.O. Box 1053 Ranchos de Taos NM 87557 Taos Active 12/15/2004 09/30/2013 5128 La Bajada NW Albuquerque NM 87105 Bernalillo Active 07/15/2011 09/30/2014 PO Box 88463 Atlanta GA 30356-8463 Dekalb Expired 03/31/1997 09/30/2009 8700 Northridge NE Albuquerque NM 87111 Bernalillo Active 12/31/1994 09/30/2013 1612 S. Prince Clovis NM 88101 Curry Active 09/17/2012 04/30/2013 Page 135 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0081351 Bryan W. A. Hodges 0140151 Alcohol and Drug Counselor Gary S. Hodges 1707 Licensed Mental Health Counselor Kathleen N. Hodges 0119831 Clinical Mental Health Counselor (LPCC) Susan Anne Hodgman 0153731 Alcohol and Drug Counselor SARAH L HODSON 0067822 Temporary License Gabrilla Hoeglund 0101781 Marriage and Family Therapist Celena Jo Hoey 2511 Clinical Mental Health Counselor (LPCC) Ursula Hofer 0094161 Professional Mental Health Counselor Christina F. Hoff-Vellturo 0105391 Professional Mental Health Counselor LeeAnn Hoffman 0145111 Clinical Mental Health Counselor (LPCC) Michelle C. Hoffman 0073721 Licensed Mental Health Counselor Hogares, Inc 0107081 CEU Provider Certificate Mary B. Hokom 1545 Clinical Mental Health Counselor (LPCC) Morgan (Margaret) Holford 2244 Professional Mental Health Counselor Arcilia F. Holguin Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5217 Cats Eye Road Las Cruces NM 88012 Dona Ana Active 04/27/2005 09/30/2014 P.O. Box 36724 Albuquerque NM 87176 Bernalillo Active 05/19/2011 09/30/2014 1772 Buchanan Las Cruces NM 88001 Dona Ana Active 07/31/1994 09/30/2013 4501 B. Rowe Ave. Farmington NM 87402 San Juan Active 01/22/2009 09/30/2013 1917 GRAYSON COURT CLOVIS, NM 88101 Curry Active 09/26/2012 04/30/2013 1454 Miracerras Loop South Santa Fe NM 87505 Santa Fe Active 09/30/2003 09/30/2014 6913 Bonnie Ridge Drive Apt T-2 Baltimore MD 21209 2019 Galisteo St. Unit M-3 Santa Fe NM 87505 Baltimore Retired 03/14/2007 09/30/2012 Santa Fe Active 10/31/1994 09/30/2013 25360 Shaker Blvd. Beachwood OH 44122 Cuyahoga Expired 07/05/2006 09/30/2009 7300 Tricia Road NE Albuquerque NM 87113 Bernalillo Active 07/13/2007 09/30/2014 4551 Paseo del Sol #723 Santa Fe NM 87507 Santa Fe Active 11/29/2011 09/30/2013 1218 Griegos NW Albuquerque NM 87107 Bernalillo Active 05/31/2004 09/30/2013 3503 Pinos Altos Road Silver City NM 88061 Grant Active 08/29/2007 09/30/2014 369 Montezuma # 178 Santa Fe NM 87501 Santa Fe Active 10/31/1994 09/30/2013 122 Roe Deer Court Las Cruces NM 88007 Dona Ana Revoked 07/31/1994 09/30/2014 Page 136 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0095461 Joseph L. Holguin 0075621 Alcohol and Drug Counselor Mary E. Holguin 0125821 Professional Mental Health Counselor Andrea Rachelle Holland 0135711 Marriage and Family Therapist Dennis W. Holland 1955 Clinical Mental Health Counselor (LPCC) Elisabeth C. Holland 2517 Clinical Mental Health Counselor (LPCC) Ernest D. Holland 3082 Marriage and Family Therapist Mary Ann Holland 006101 Licensed Mental Health Counselor Mickie L. Holland 0494 Clinical Mental Health Counselor (LPCC) Penny S. Holland 0069392 Clinical Mental Health Counselor (LPCC) Teresa A. Holle 4917 Alcohol and Drug Counselor Barbara C. Hollembaek 0135371 Clinical Mental Health Counselor (LPCC) Jean V. Holley-Jenkinson 0146221 Licensed Mental Health Counselor Jason Edwin Holley 0803 Clinical Mental Health Counselor (LPCC) Jan K. Hollingsworth 0150741 Clinical Mental Health Counselor (LPCC) Tracy J Hollingworth Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9839 Amber Breeze San Antonio TX 78245 Bexar Retired 08/11/2006 09/30/2009 2043 Embassy Dr. Las Cruces NM 88005 Dona Ana Active 09/14/2004 09/30/2013 P.O. Box 838 Ruidoso NM 88355 Lincoln Active 09/09/2009 09/30/2013 972 Prairie Zinnia Drive Bernalillo NM 87004 Sandoval Active 10/22/2010 09/30/2014 35 Old Agua Fria Rd. East Santa Fe NM 87508 Santa Fe Active 05/31/1998 09/30/2013 1333 E. Birch Lovington NM 88260 Lea Active 04/30/1995 09/30/2013 HCR 65, Box 25 Ojo Sarco NM 87521 Taos Retired 09/30/1995 09/30/2009 1333 E. Birch Lovington NM 88260 Lea Active 02/25/2001 09/30/2013 1024 Summit NE Albuquerque NM 87106 Bernalillo Active 07/31/1994 09/30/2014 2624 Calle Primavera Santa Fe NM 87505 Santa Fe Retired 12/31/2003 09/30/2008 300 N. Eastern Slope Loop Tucson AZ 85748 Pima Active 08/31/1999 09/30/2013 P.O. Box 1753 #7 El Prado NM 87529 917 Placita Chaco Santa Fe NM 87505 Taos Active 10/13/2010 09/30/2014 Santa Fe Active 01/13/2012 09/30/2013 9631 Morrow NE Albuquerque NM 87112 Bernalillo Active 06/30/1994 09/30/2013 10000 Ashland St. NW Albuquerque NM 87114 Bernalillo Active 06/14/2012 09/30/2013 Page 137 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4562 0089941 3904 0128501 0107961 0122041 0151621 0153751 0155471 0133321 0120991 0080201 0147041 0132411 0103 Printed: 01/15/2013 Patricia H. Hollister General Address P.O. Box 666 73 Raspberry Hill Rd. Marriage and Family Therapist Cloudcroft NM 88317 Katherine Dale Lorraine Holloway-VanAusdall 5 ALAMO ST Arenas Valley NM 88022 Licensed Mental Health Counselor Sean E. Holman 313 Barrett Allen Lane El Paso TX 79932 Alcohol and Drug Counselor Joseph Gerald Holub P.O. Box 65 Taos NM 87571 Substance Abuse Associate Homer Avalos, Ph.D 300-2 McCombs Chaparral NM 88081 CEU Provider Certificate Nindi Francesca Honeyman 1303 West Jackson Lovington NM 88260 Substance Abuse Associate Nindi Francesca Honeyman 1303 West Jackson Lovington NM 88260 Alcohol and Drug Counselor Nindi Francesca Honeyman 1303 West Jackson Lovington NM 88260 Temporary License Honor Medina 1725 N. Thomason Rd. Carlsbad NM 88220 CEU Provider Certificate Lojann E Hooee 1236 Diamond PL NW Albuquerque NM 87121 Alcohol and Drug Counselor Stephen James Hoogerbrugge 1124 Park Avenue, SW Albuquerque NM 87102 Marriage and Family Therapist Diane Hooper 5512 Rosemont NE Albuquerque NM 87110 Clinical Mental Health Counselor (LPCC) Michael James Hopkin 1511 Walnut Drive Alamogordo NM 88310 Alcohol and Drug Counselor Deanna Esquibel Hopkins 9609 Comanche Rd. NE Albuquerque NM 87111 Clinical Mental Health Counselor (LPCC) Paul E. Hopkins 4801 Indian School Rd NE Suite 200 Marriage and Family Therapist Albuquerque NM 87110 County License Status Issue Date Expiration Date Otero Active 01/31/1999 09/30/2014 Grant Expired 02/08/2006 09/30/2009 El Paso Active 01/31/1997 09/30/2014 Taos Active 01/06/2010 09/30/2013 Dona Ana Expired 10/02/2007 09/30/2009 Lea Upgraded 03/30/2009 09/30/2013 Lea Active 07/19/2012 09/30/2013 Lea Active 09/26/2012 04/30/2013 Eddy Active 12/07/2012 09/30/2013 Bernalillo Active 07/01/2010 09/30/2013 Bernalillo Active 03/02/2009 09/30/2013 Bernalillo Active 03/16/2005 09/30/2014 Otero Active 02/07/2012 09/30/2013 Bernalillo Active 05/27/2010 09/30/2013 Bernalillo Expired 05/31/1994 09/30/2009 Page 138 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0110 Paul E. Hopkins 006075 Clinical Mental Health Counselor (LPCC) Curtis Hoppe 0148671 Clinical Mental Health Counselor (LPCC) Jacquelyn Hoppe 0129661 Licensed Mental Health Counselor Valorie J Hoppenworth 0091811 Clinical Mental Health Counselor (LPCC) Stephanie Horner 0081021 Clinical Mental Health Counselor (LPCC) William S. Horner 0152171 Professional Mental Health Counselor Terri E. Hornstein 1220 Temporary License Michele L. Horrell 0148961 Registered Independent Counselor Michele R. Horsley 0154461 Temporary License Morning Horsley 3694 Substance Abuse Associate Patricia R. Horton 0084311 Alcohol and Drug Counselor Patricia R. Horton 3160 Clinical Mental Health Counselor (LPCC) Linda Kathryn Hortter 5286 Art Therapist Linda Kathryn Hortter 0835 Alcohol and Drug Counselor Andrew W. Hoskin, Jr. Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4801 Indian School Rd NE Suite 200 Albuquerque NM 87110 P.O. Box 4548 El Paso TX 79924 Bernalillo Active 06/30/1994 09/30/2014 El Paso Active 1716 Windsor Way Clovis NM 88101 Curry Active 03/30/2012 09/30/2013 P.O. Box 7256 Clearwater FL 33758 Pinellas Active 02/12/2010 09/30/2013 P.O. Box 1241 Chama NM 87520 Rio Arriba Active 03/30/2006 09/30/2013 10500 Condor Loop Waco TX 76708 McLennan Active 04/13/2005 09/30/2014 PO Box 80813 Atlanta GA 30366 DeKalb Active 08/15/2012 03/31/2013 1601 Abbott Ave. Alamogordo NM 88310 Otero Active 07/31/1994 09/30/2014 1808 Mariyana Ave. Gallup NM 87301 McKinley Null and Void 04/09/2012 11/30/2012 305 Anza St. Hurley NM 88043 Grant Active 10/29/2012 09/30/2014 659 Reeves Place Los Lunas NM 87031 Valencia Active 02/28/1997 09/30/2014 659 Reeves Place Los Lunas NM 87031 Valencia Active 07/21/2005 09/30/2014 3405 Calle Viejo Santa Fe NM 87507 Santa Fe Retired 01/31/1999 09/30/2012 3405 Calle Viejo Santa Fe NM 87507 Santa Fe Retired 07/31/2000 09/30/2012 7201 Remington Drive NE Albuquerque NM 87109 Bernalillo Expired 09/30/1994 09/30/2003 Page 139 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153161 Mayre M. Hoskison 0132471 Licensed Mental Health Counselor Darrell T. House 0088671 Alcohol and Drug Counselor Karen M. House 0121451 Clinical Mental Health Counselor (LPCC) Ruth Helen Housman 0083931 Clinical Mental Health Counselor (LPCC) Lisa Lynn Houston 0122251 Clinical Mental Health Counselor (LPCC) Barbara Sitarz Howard 0146351 Licensed Mental Health Counselor Barbara Sitarz Howard 0151491 Alcohol and Drug Counselor Barbara Sitarz Howard 0143991 Temporary License Brittany R. Howell 0151451 Licensed Mental Health Counselor HOY Recovery Program- Adam V. Baca 0155971 CEU Provider Certificate Hoyt Roberson 3111 CEU Provider Certificate Charles Wesley Hoyt 0151201 Professional Mental Health Counselor Robert A. Hoyt 4182 Temporary License Mary Beth Huberman 005712 Clinical Mental Health Counselor (LPCC) Mary Beth Huberman Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3701 Hacienda Dr. NE Albuquerque NM 87110 Bernalillo Active 09/07/2012 09/30/2013 P.O Box 1269 Winslow AZ 86047 Navajo Active 06/01/2010 09/30/2013 P.O. Box 1560 Ranchos de Taos NM 87557-1560 Taos Active 12/20/2005 09/30/2014 1787 Stonesthrow Rd. Bethlehem PA 18015 Northampton Active 03/12/2009 09/30/2013 P.O. Box 1641 Silver City NM 88062 Grant Active 07/11/2005 09/30/2014 1617 Cornell Drive, SE Albuquerque NM 87106 Bernalillo Active 04/08/2009 09/30/2013 1617 Cornell Drive, SE Albuquerque NM 87106 Bernalillo Active 01/17/2012 09/30/2013 1617 Cornell Drive, SE Albuquerque NM 87106 Bernalillo Active 07/10/2012 02/28/2013 1827 Dartmouth NE #107 Albuquerque NM 87106 Bernalillo Active 10/06/2011 09/30/2013 PO Box 520 Espanola NM 87532 Rio Arriba Active 07/09/2012 09/30/2013 10101 Park Ln NW Albuquerque NM 87114 Bernalillo Active 01/03/2013 09/30/2014 2507 Westminister Alamogordo NM 88310 Otero Active 08/31/1999 09/30/2013 2901 Pueblo Pintado Santa Fe NM 87507 Santa Fe Active 06/29/2012 01/31/2013 821 1/2 Ninita Street Santa Fe NM 87505 Santa Fe Active 06/30/2000 09/30/2014 821 1/2 Ninita Street Santa Fe NM 87505 Santa Fe Active 01/30/2001 09/30/2014 Page 140 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 006183 Chari L. Hudgens Spears 0069571 Marriage and Family Therapist Chari L. Hudgens Spears 0139641 Alcohol and Drug Counselor David Hudson 0151991 Clinical Mental Health Counselor (LPCC) David B. Hudson 3759 Clinical Mental Health Counselor (LPCC) Henry X. Hudson 3243 Alcohol and Drug Counselor Jesse F. Hudson 0143391 Clinical Mental Health Counselor (LPCC) Patrick A. Hudson 0113611 Licensed Mental Health Counselor Norma Jean Huerta 0145751 Licensed Mental Health Counselor Cassidy R. Huffman 0150621 Temporary License Cassidy R. Huffman 0100211 Temporary License Joyce E. Huffman 0097851 Clinical Mental Health Counselor (LPCC) Regina I. Huffman 0127231 Substance Abuse Associate Regina I. Huffman 0136361 Licensed Mental Health Counselor Robyn L. Huffman 0078651 Licensed Mental Health Counselor Karen Wind Hughes Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 4314 Truth or Consequences NM 87901 Sierra Active 03/31/2002 09/30/2013 P.O. Box 4314 Truth or Consequences NM 87901 Sierra Active 12/31/2003 09/30/2013 1423 Rolling Rock Pl SW Albuquerque NM 87121 Bernalillo Active 04/28/2011 09/30/2014 601-B Iron Ave. SW Albuquerque NM 87102 Bernalillo Active 08/09/2012 09/30/2013 12128 Menaul Blvd. NE; Apt. #3 Albuquerque NM 87112 Bernalillo Expired 03/31/1997 09/30/2009 304 W 300N Manti Manti UT 84642 Sanpete Active 12/31/1996 09/30/2013 733 State Road 344 Edgewood NM 87015 Santa Fe Active 09/20/2011 09/30/2013 7210 Avery Rd. San Antonio TX 78233 Bexar Active 05/14/2008 09/30/2014 1305 S. Monroe Tucumcari NM 88401 Quay Null and Void 12/22/2011 07/31/2012 1305 S. Monroe Tucumcari NM 88401 Quay Null and Void 06/11/2012 01/31/2013 2734 San Joaquin Ave. SE Albuquerque NM 87106-3029 Bernalillo Active 01/22/2007 09/30/2014 3406 Box Canyon Avenue Gallup NM 87301 McKinley Expired 11/01/2006 09/30/2009 3406 Box Canyon Avenue Gallup NM 87301 McKinley Active 10/29/2009 09/30/2013 9801 Cassidy NW Albuquerque NM 87114 Bernalillo Active 11/24/2010 09/30/2014 P.O. Box 2525 Taos NM 87571 Taos Active 01/18/2005 09/30/2014 Page 141 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005952 Karen L. Hulse 0092281 Alcohol and Drug Counselor Sonia Laura Humerez 0140871 Marriage and Family Therapist James Nathaniel Hunt 1708 Clinical Mental Health Counselor (LPCC) Kathleen Hunt 3768 Clinical Mental Health Counselor (LPCC) Kathleen Hunt 3799 Alcohol and Drug Counselor Janice M. Hurst 0128791 Alcohol and Drug Counselor Michael R. Hurst 0091591 Alcohol and Drug Counselor Roswitha Helena Hurst 0093231 Clinical Mental Health Counselor (LPCC) Sara Hurtado 0139811 Substance Abuse Associate Sara Hurtado 0082871 Alcohol and Drug Counselor Donna L. Hurula 0090171 Clinical Mental Health Counselor (LPCC) Rowland H Hutchins 0105961 Substance Abuse Associate Sue Hutchins 5063 Alcohol and Drug Counselor Daniel E. Hutchison 1548 Alcohol and Drug Counselor Kathryn P. Hutton Art Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1902 Bindel St. Carlsbad NM 88220 Eddy Active 05/06/2004 09/30/2013 432 Cambridge Ave. Belen NM 87002 Valencia Active 04/24/2006 09/30/2013 4000 Old Pecos Trail Santa Fe NM 87508 Santa Fe Active 06/16/2011 09/30/2014 P.O. Box 2713 Silver City NM 88062 Grant Active 07/31/1994 09/30/2014 P.O. Box 2713 Silver City NM 88062 Grant Active 02/28/1997 09/30/2014 P.O. Box 969 Rociada NM 87742 Mora Active 03/31/1997 09/30/2013 3621 Sierra Bonita Ave Las Cruces NM 88012 Dona Ana Active 01/14/2010 09/30/2013 109 South Ave. F Portales NM 88130 Roosevelt Active 03/24/2006 09/30/2013 2725 Metzgar Rd Albuquerque NM 87105 Bernalillo Expired 06/06/2006 09/30/2009 2725 Metzgar Rd Albuquerque NM 87105 Bernalillo Active 05/05/2011 09/30/2014 6545 Blue Quail Rd. NE Rio Rancho NM 87144 Sandoval Active 06/17/2005 09/30/2014 4008 N. Grimes, #187 Hobbs NM 88240 Lea Active 02/14/2006 09/30/2013 3200 Del Rey Blvd #25 Las Cruces NM 88012 Dona Ana Active 07/25/2007 09/30/2014 116 Washington Street Clayton NM 88415 Union Active 01/31/2000 09/30/2013 1000 Marquez Place Unit C2 Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2014 Page 142 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0105201 Daniel J. Huyser 0104471 Clinical Mental Health Counselor (LPCC) Kelly Lynne Hyde 3668 Clinical Mental Health Counselor (LPCC) David H. Ibarbo 0138151 Alcohol and Drug Counselor Tala S. Ibrahim 0154381 Licensed Mental Health Counselor Tala S. Ibrahim 005440 Temporary License Amy Beth Ienni 0102941 Licensed Mental Health Counselor V. Lisbeth Iglesias Rios 0111471 Alcohol and Drug Counselor Beatrice Holtz Ilumin 0149431 Licensed Mental Health Counselor Beatrice Holtz Ilumin 3254 Temporary License Rosemary Imhof 0131401 Art Therapist Katherine J. Imislund-Clarke 0115721 Licensed Mental Health Counselor Infinite Possibilities, Inc. 0365 CEU Provider Certificate Sandra F. Ingerman 0380 Clinical Mental Health Counselor (LPCC) Sandra F. Ingerman 0134351 Marriage and Family Therapist Patricia D. Ingram Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7922 W. Pima St. Phoenix AZ 85043 Maricopa Active 07/03/2007 09/30/2014 1704-B Llano Street #142 Santa Fe NM 87505 Santa Fe Active 06/08/2007 09/30/2014 1152 Behnke Road Los Lunas NM 87031 Valencia Active 07/31/1997 09/30/2014 12305 Tierra Arroyo El Paso TX 79938 El Paso Active 02/25/2011 09/30/2014 12305 Tierra Arroyo El Paso TX 79938 El Paso Active 10/23/2012 05/31/2013 5912 Burgos Ave. NW Albuquerque NM 87114 Bernalillo Active 03/31/2001 09/30/2014 1815 N Franklin Court Ann Arbor MI 48103-2444 Washtenaw Active 04/18/2007 09/30/2014 4655 Camino Cuervo Santa Fe NM 87507-4618 Santa Fe Active 02/19/2008 09/30/2014 4655 Camino Cuervo Santa Fe NM 87507-4618 Santa Fe Null and Void 04/23/2012 11/30/2012 330 Mesilla NE Albuquerque NM 87108 Bernalillo Active 01/31/1997 09/30/2014 1811 Camino La Canada Santa Fe NM 87501 Santa Fe Active 04/15/2010 09/30/2013 1474 South St. Francis Drive Santa Fe NM 87505 Santa Fe Expired 07/30/2008 09/30/2009 P.O. Box 4772 Santa Fe NM 87502 Santa Fe Active 07/31/1994 09/30/2013 P.O. Box 4772 Santa Fe NM 87502 Santa Fe Active 07/31/1995 09/30/2014 3004 Francisco NE Albuquerque NM 87107 Bernalillo Active 08/19/2010 09/30/2013 Page 143 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3296 InVision Wellness, LLC, DBA: Kent Tompkins, LPCC CEU Provider Certificate Katherine Irish Henry 005541 Art Therapist Katherine Irish Henry 0121871 Clinical Mental Health Counselor (LPCC) Vanessa Ann Irizarry 4707 Clinical Mental Health Counselor (LPCC) Carrie E. Tansey Ishee 0149751 Licensed Mental Health Counselor Karla G. Ismay 0153151 Clinical Mental Health Counselor (LPCC) Christopher Isoldi 0147161 Substance Abuse Associate Barbara C. Ivey 0114031 Temporary License Jack Lehman 3548 CEU Provider Certificate Anna L. Jackard 0129481 Alcohol and Drug Counselor Felipita C Jacks 0132791 Substance Abuse Associate Carole I. Jackson 0089191 Clinical Mental Health Counselor (LPCC) David W. Jackson 0106471 Clinical Mental Health Counselor (LPCC) Josephina Contreras Jackson 0140331 Licensed Mental Health Counselor Josephina Contreras Jackson 0136501 Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 11758 Road 27.1 Dolores CO 81323 Montezuma Active 11/29/2010 09/30/2013 P.O. Box 37 Placitas NM 87043 Sandoval Active 01/31/1999 09/30/2014 P.O. Box 37 Placitas NM 87043 Sandoval Active 09/30/2001 09/30/2013 3216 Rio Bonito Dr. SW Albuquerque NM 87121 Bernalillo Active 03/25/2009 09/30/2013 18 Enebro Road Santa Fe NM 87508 Santa Fe Active 07/30/1998 09/30/2013 1830-B Meadowview Dr. NW Albuquerque NM 87104 Bernalillo Active 05/02/2012 09/30/2013 206 W. Laplata Dr. Farmington NM 87401 San Juan Active 09/07/2012 09/30/2013 9311 Vicksburg St. El Paso TX 79925 El Paso Active 02/10/2012 09/30/2012 14 Camino De Las Minas Santa Fe NM 87508 Santa Fe Active 05/28/2008 09/30/2013 P.O. Box 541 Clayton NM 88415 Union Active 01/31/1997 09/30/2014 7000 Sheltie Court Rio Rancho NM 87144 Sandoval Active 02/10/2010 09/30/2013 HCR 72 Box 146 Ribera NM 87560 San Miguel Active 06/10/2010 09/30/2013 3209 Mandell Circle Clovis NM 88101 Curry Active 01/11/2006 09/30/2013 3501 Vista Del Sur NW Albuquerque NM 87120 Bernalillo Active 08/09/2007 09/30/2014 3501 Vista Del Sur NW Albuquerque NM 87120 Bernalillo Active 05/26/2011 09/30/2014 Page 144 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0055321 Juanita B Jackson 1153 Licensed Mental Health Counselor Kathleen A. Jackson 0152671 Clinical Mental Health Counselor (LPCC) Lacee L. Jackson 0124141 Substance Abuse Associate Lisa Kathryn Jackson 1824 Clinical Mental Health Counselor (LPCC) Mary K. Jackson 0112141 Professional Mental Health Counselor Sandra G. Jackson 0760 Clinical Mental Health Counselor (LPCC) Bernadette Jacobs 0065602 Clinical Mental Health Counselor (LPCC) William R. Jacobs 0243 Clinical Mental Health Counselor (LPCC) Louise M. Jacobus 006091 Clinical Mental Health Counselor (LPCC) Roberto P. Jacquez 3805 Clinical Mental Health Counselor (LPCC) Jeannette E. Jagles 1966 Alcohol Abuse Counselor Shyam K. Jaitly 0070061 Professional Mental Health Counselor Jake Eagle 0165 CEU Provider Certificate Robin R. Jakino 0147721 Clinical Mental Health Counselor (LPCC) James D. Martin CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 2663 Fort Defiance AZ 86504 Apache Retired 08/31/2003 09/30/2012 1706 Notre Dame NE Albuquerque NM 87106 Bernalillo Expired 06/30/1994 09/30/2009 2800 Grand Mesa St. Silver City NM 88061 Grant Active 08/24/2012 09/30/2013 601 Menaul Blvd NE #1605 #1605 Albuquerque NM 87107 911 Glenmoor Lane Saint Louis MO 63122 Bernalillo Active 07/07/2009 09/30/2013 Saint Louis Retired 10/31/1994 09/30/2008 606 Adams Ave. Alamogordo NM 88310 Otero Active 03/20/2008 09/30/2014 PMB 291 1704-B Llano St. Santa Fe NM 87505 Santa Fe Active 12/31/1997 09/30/2014 8608 Claridge Place NW Albuquerque NM 87114 Bernalillo Active 02/28/2003 09/30/2014 P.O. Box 653 La Mesa CA 91944 San Diego Active 05/31/1994 09/30/2013 P.O. Box 307 Chamberino NM 88027 Dona Ana Active 12/21/2006 09/30/2013 Route 42 Box 77TP Santa Fe NM 87506 Santa Fe Active 01/31/1997 09/30/2013 705 Sagebrush Tr. SE Albuquerque NM 87123 Bernalillo Active 09/30/1994 09/30/2014 P.O. Box 817 Tesuque NM 87574 Santa Fe Expired 01/31/2003 09/30/2009 P.O. Box 5635 Farmington NM 87499 San Juan Active 06/30/1994 09/30/2013 112 Brentwood Dr. Alto NM 88312 Lincoln Active 03/02/2012 09/30/2013 Page 145 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0111651 James L. Zacharieas 0149711 CEU Provider Certificate James R. Vincent 0119201 CEU Provider Certificate James Schall 0135641 CEU Provider Certificate Joy Renay James 0107831 Marriage and Family Therapist Sandra L. James 0102781 Licensed Mental Health Counselor Jan Middeldorf 0070041 CEU Provider Certificate Jane Shoenfeld 0136191 CEU Provider Certificate Sarah E. Janes 0087521 Licensed Mental Health Counselor Janice Boyer 0152951 CEU Provider Certificate Janice N. Ladnier 0154011 CEU Provider Certificate Jean M. Janu 0109301 Licensed Mental Health Counselor Brenda Janzen 0100701 Clinical Mental Health Counselor (LPCC) Rachael Lucille Jaramillo-Davis 0066052 Professional Mental Health Counselor Barbara Y. Jaramillo 1550 Professional Mental Health Counselor Burlinda C. Jaramillo Registered Independent Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 616 Flint Ridge Tr SE Albuquerque NM 87123 Bernalillo Expired 02/26/2008 09/30/2009 14A Sarma Lane Santa Fe NM 87506 Santa Fe Active 05/01/2012 09/30/2013 324 Townsend Terrace Las Cruces NM 88005 Dona Ana Expired 01/06/2009 09/30/2009 1719 May Avenue Las Cruces NM 88001 Dona Ana Active 10/21/2010 09/30/2014 P.O. Box 1234 Taos NM 87571 Taos Active 09/28/2007 09/30/2013 13528 Terrapon Dr., NE Albuquerque NM 87112 Bernalillo Active 04/16/2007 09/30/2013 P.O. Box 5912 Santa Fe NM 87502 Santa Fe Active 01/31/2003 09/30/2013 P.O. Box 1183 El Prado NM 87529 Taos Active 11/15/2010 09/30/2014 815 Rio Vista Street Santa Fe NM 87501 Santa Fe Active 10/26/2005 09/30/2013 22437 Highway 53 Gulfport MS 39503 Harrison Active 08/30/2012 09/30/2013 PO Box 502 Chama NM 87520 Rio Arriba Active 10/11/2012 09/30/2014 160 E. 800 N. Logan UT 84321 Cache Active 11/19/2007 09/30/2013 P.O. Box 7402 Albuquerque NM 87194 Bernalillo Active 02/07/2007 09/30/2014 217 E. View Street Fallbrook CA 92028 San Diego Active 03/31/2003 09/30/2014 P.O. Box 294 Peralta NM 87042 Valencia Active 01/31/1995 09/30/2014 Page 146 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type General Address County License Status Issue Date Expiration Date 0110671 Richard W. Jaramillo San Juan Active 01/28/2008 09/30/2013 4098 Alcohol and Drug Counselor Gregory C. Jarrett 906 N. Butler Avenue Farmington NM 87401 Marion Active 04/30/1997 09/30/2014 0145721 Alcohol and Drug Counselor Rachel Jarvis P.O. Box 2265 Salem OR 97308 Rio Arriba Active 12/21/2011 09/30/2013 0122261 Clinical Mental Health Counselor (LPCC) Mary Diamond Jaseph P.O.Box 633 Abiquiu NM 87510 Bernalillo Active 04/08/2009 09/30/2013 0148591 Licensed Mental Health Counselor Jason Buckles 3424 Pitt St., NE Albuquerque NM 87111 Bernalillo Active 03/30/2012 09/30/2013 0125741 CEU Provider Certificate Violeta Blanca Jaure 2124 Wilma NW Albuquerque NM 87104-3230 Grant Active 09/03/2009 09/30/2013 0150311 Licensed Mental Health Counselor Violeta Blanca Jaure PO Box 734 Silver City NM 88062 Grant Null and Void 01/25/2010 09/30/2012 0129151 Alcohol and Drug Counselor Violeta Blanca Jaure PO Box 734 Silver City NM 88062 Grant Active 01/27/2010 09/30/2013 0150371 Alcohol and Drug Counselor Violeta Blanca Jaure PO Box 734 Silver City NM 88062 Grant Active 05/31/2012 12/31/2012 0143201 Temporary License MariaElena Jauregui-Cross PO Box 734 Silver City NM 88062 Grant Active 09/14/2011 09/30/2013 0137461 Licensed Mental Health Counselor Alice Madison Jax 3710 Little Walnut Rd. space #3 Silver City NM 88061 Otero Active 01/20/2011 09/30/2014 005801 Clinical Mental Health Counselor (LPCC) Pamela G. Jay 1402 New York Avenue Alamogordo NM 88310 Pima Active 07/31/2001 09/30/2013 0124901 Alcohol and Drug Counselor Jayne Talk-Sanchez & Mark Sanchez 11093 E. Tanque Verde Road Tucson AZ 85749 San Juan Active 07/28/2009 09/30/2013 3420 CEU Provider Certificate Susan A. Jean-Pierre P.O. Box 2707 Shiprock NM 87420-2707 Bernalillo Retired 02/28/1997 09/30/2012 0151351 Licensed Mental Health Counselor Ramona Gayle Jefferson 3 Zopilote Road Tijeras NM 87059 2521 North Main Street Las Cruces NM 88001 Dona Ana Active 07/06/2012 09/30/2013 Alcohol and Drug Counselor Printed: 01/15/2013 Page 147 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0091011 Felicia Kim Jeffries 0133391 Clinical Mental Health Counselor (LPCC) Brook E. Jenkins 4993 Clinical Mental Health Counselor (LPCC) Kathleen Jenkins 1355 Clinical Mental Health Counselor (LPCC) Paul M. Jenks 0148641 0136481 1551 0134031 0149761 0146941 0125371 4794 005511 0113211 0152551 Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9819 Silverton Dr. NW Albuquerque NM 87114 Bernalillo Active 03/14/2006 09/30/2013 728 Calle Beatrice Santa Fe NM 87505 Santa Fe Active 07/08/2010 09/30/2013 5833 S. Taft Way Littleton CO 80127 Jefferson Retired 03/31/2000 09/30/2009 4010 Carlisle NE Ste B Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2013 Santa Fe Active 03/30/2012 09/30/2013 Bernalillo Active 11/29/2010 09/30/2013 Santa Fe Active 10/31/1994 09/30/2013 Bernalillo Active 08/05/2010 09/30/2013 Bernalillo Active 05/02/2012 09/30/2013 Apache Active 02/02/2012 09/30/2013 San Juan Active 08/19/2009 09/30/2013 Chaves Active 01/31/2000 09/30/2014 Chaves Active 12/31/2000 09/30/2013 Grant Active 04/30/2008 09/30/2014 Bernalillo Active 08/22/2012 09/30/2013 Art Therapist Jennifer Andermann, NM School for the Deaf 1060 Cerrillos Rd. Santa Fe NM 87507 CEU Provider Certificate Jennifer Thompson 1101 Lopez Road SW Albuquerque NM 87105 CEU Provider Certificate Lydia Zepeda Jennings 1502 St. Francis Santa Fe NM 87505 Marriage and Family Therapist Susan M. Jennings P.O. Box 56674 Albuquerque NM 87187 Clinical Mental Health Counselor (LPCC) Susan M. Jennings P.O. Box 56674 Albuquerque NM 87187 Alcohol and Drug Counselor Leroy Jim PO Box 645 Saint Michaels AZ 86511 Clinical Mental Health Counselor (LPCC) Lorenzo R. Jim 2525 East 16th Street #309 Farmington NM 87401 Alcohol and Drug Counselor Gilbert E. Jimenez 3507 Riverside Dr. Roswell NM 88201 Marriage and Family Therapist Gilbert E. Jimenez 3507 Riverside Dr. Roswell NM 88201 Clinical Mental Health Counselor (LPCC) Lorena E. Jimenez P.O. Box 1465 Bayard NM 88023 Alcohol and Drug Counselor Gina L. Jimmerson 10531 Redbud NW Albuquerque NM 87114 Clinical Mental Health Counselor (LPCC) Page 148 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0134991 Heather L. Jiron 0135221 Clinical Mental Health Counselor (LPCC) Jivan Joti Khalsa, Ph.D 0108001 CEU Provider Certificate Joanne Rossi 0136941 CEU Provider Certificate Kristina Marie Jochman 3955 Clinical Mental Health Counselor (LPCC) Rita Joe-Cantsee 4418 Alcohol and Drug Counselor Lorenda A. Joe 0081491 Alcohol and Drug Counselor Tina J. Joe 0091111 Alcohol and Drug Counselor joey blue 0072781 CEU Provider Certificate John Michael Westbrook, PhD 0065502 CEU Provider Certificate Deborah L. John 4047 Art Therapist Delbert John 0148001 Alcohol and Drug Counselor Jabez B. John 4575 Licensed Mental Health Counselor Lisa Lynn Wood John 0130011 Alcohol and Drug Counselor Trent L. John 0110991 Clinical Mental Health Counselor (LPCC) Vera D. John Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1963 Cummings Court Las Cruces NM 88001 Dona Ana Active 09/15/2010 09/30/2014 P.O. Box 845 Santa Cruz NM 87567 Santa Fe Active 09/30/2010 09/30/2013 56 Priestley Pl. Corrales NM 87048 Sandoval Active 10/02/2007 09/30/2013 1345 Branson Avenue, Apt. 8B Las Cruces NM 88001 Dona Ana Active 12/27/2010 09/30/2014 P.O. Box 273 Towaoc CO 81334 Montezuma Active 04/30/1997 09/30/2013 P.O. Box 1872 Shiprock NM 87420 San Juan Active 06/30/1999 09/30/2014 P.O. Box 2622 Kirtland NM 87417 San Juan Active 05/02/2005 09/30/2014 P.O. Box 1840 Ranchos de Taos NM 87557 Taos Active 03/15/2006 09/30/2013 215 W. Broadway Suite 1 Hobbs NM 88240 Lea Active 04/30/2003 09/30/2013 2300 West Alameda A8 Santa Fe NM 87507 Santa Fe Active 01/31/2003 09/30/2014 P.O. Box 742 Shiprock NM 87420 San Juan Active 02/28/1997 09/30/2013 8160 Sand Springs Cir. NW Albuquerque NM 87114 Bernalillo Active 03/19/2012 09/30/2013 P.O. Box 279 Shiprock NM 87420 San Juan Active 01/31/1999 09/30/2013 105 Sugar Ridge Loop Rio Rancho NM 87124 Sandoval Active 02/23/2010 09/30/2013 P.O. Box 1082 Shiprock NM 87420 San Juan Active 02/04/2008 09/30/2014 Page 149 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153811 Johnson-Long Clinical Services, LLC 0154771 CEU Provider Certificate Elane W. Johnson-Williams 3945 Licensed Mental Health Counselor Chester Johnson 1827 Alcohol Abuse Counselor Christina Johnson 0155191 Professional Mental Health Counselor Christopher L. Johnson 0144321 Licensed Mental Health Counselor Clifton E. Johnson 1553 Clinical Mental Health Counselor (LPCC) Debra S. Johnson 0103681 Clinical Mental Health Counselor (LPCC) Janelle Johnson 0115341 Clinical Mental Health Counselor (LPCC) Jessica Denise Johnson 0100181 Marriage and Family Therapist John C. Johnson 5276 Professional Mental Health Counselor June Johnson 2532 Substance Abuse Associate Kymberly A. Johnson 1710 Clinical Mental Health Counselor (LPCC) Lisa J. Johnson 0698 Marriage and Family Therapist Marian F. Johnson 0092271 Clinical Mental Health Counselor (LPCC) Mary A. Johnson Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 555 E. Zia St. Aztec NM 87410 San Juan Active 10/02/2012 09/30/2013 8300 Cascade Park Ave. NW Albuquerque NM 87120 Bernalillo Active 11/13/2012 09/30/2014 P.O. Box 1782 Shiprock NM 87420 San Juan Active 04/30/1997 09/30/2009 15 S. Sligo Plantation road Natchez MS 39120 Adams Active 07/31/1994 09/30/2013 917 Placita Chaco Santa Fe NM 87505 Santa Fe Active 11/29/2012 09/30/2014 951 Desert Willow Ct. Bernalillo NM 87004 Sandoval Active 10/19/2011 09/30/2013 2421 Sarracino Court Gallup NM 87301 McKinley Retired 07/31/1994 09/30/2009 P. O. Box 23793 Santa Fe NM 87502 Santa Fe Active 05/14/2007 09/30/2014 5484 Monte Luz Las Cruces NM 88012 Dona Ana Active 07/21/2008 09/30/2014 4714 Trail's End Street NW Albuquerque NM 87120-2014 Bernalillo Active 01/22/2007 09/30/2014 P.O. Box 2409 Shiprock NM 87420 San Juan Active 04/30/2000 09/30/2014 41 Balsa Road Santa Fe NM 87508 Santa Fe Active 09/30/1994 09/30/2014 817 Carlisle Ave. NE Albuquerque NM 87106-1209 Bernalillo Active 06/30/1994 09/30/2014 904 Princeton S.E. Albuquerque NM 87106 Bernalillo Active 06/30/1994 09/30/2014 220 NW Johns Lane Pendleton OR 97801 Umatilla Active 04/24/2006 09/30/2013 Page 150 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3109 Nancy A. Johnson 3631 Clinical Mental Health Counselor (LPCC) Nancy A. Johnson 1828 Alcohol and Drug Counselor Patricia (Patty) S. Johnson 0073581 Professional Mental Health Counselor Patricia M. Johnson 3606 Substance Abuse Associate Regina E. Johnson 0295 Alcohol and Drug Counselor Steven C. Johnson 0113431 Clinical Mental Health Counselor (LPCC) Tyrone Johnson 3309 Substance Abuse Associate Victoria B. Johnson 0150381 Clinical Mental Health Counselor (LPCC) Andrea S. Johnston 0073641 Temporary License Jennifer Beth Johnston 0147111 Clinical Mental Health Counselor (LPCC) Pamela K. Johnston 0127261 Substance Abuse Associate Sandra (Sandi) Lynn Johnston 0145381 Licensed Mental Health Counselor Tessa J Johnston 0127331 Licensed Mental Health Counselor Tracia Keri Jojola 1711 Licensed Mental Health Counselor Carol Jones-Garcia Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 320 Osuna Rd. NE Bldg. A-2 Bldg. A-2 Albuquerque NM 87107 320 Osuna Rd. NE Bldg. A-2 Bldg. A-2 Albuquerque NM 87107 128 San Fidel NW Albuquerque NM 87107 Bernalillo Active 04/30/1997 09/30/2013 Bernalillo Active 02/28/1997 09/30/2013 Bernalillo Active 08/30/1994 09/30/2014 45 Wildy Drive Roswell NM 88203 Chaves Active 06/01/2004 09/30/2013 11032 Academy Ridge Rd NE Albuquerque NM 87111 Bernalillo Active 02/28/1997 09/30/2014 973 Camino Hermosa Corrales NM 87048 Sandoval Active 06/30/1994 09/30/2013 4501 Sprint Blvd NE, Apt 6309 Apt 6309 Rio Rancho NM 87144 86 Wagon Wheel Lane Silver City NM 88061 Sandoval Active 05/07/2008 09/30/2014 Grant Active 12/31/1996 09/30/2013 4620 Trumbull Ave. SE Albuquerque NM 87108 Bernalillo Active 05/31/2012 12/31/2012 1802 N Alabama Street Silver City NM 88061 Grant Retired 06/01/2004 09/30/2009 2308 General Marshall St. NE Albuquerque NM 87112 Bernalillo Active 02/09/2012 09/30/2013 8400 Menaul Blvd. NE Suite A-634 Albuquerque NM 87112 Bernalillo Active 11/02/2009 09/30/2013 9180 Coors Blvd. NW #3501 Albuquerque NM 87120 Bernalillo Active 12/07/2011 09/30/2013 2005 Cottontail Pl., SW Albuquerque NM 87105 Bernalillo Active 11/04/2009 09/30/2013 2896 Tramway Place NE Albuquerque NM 87122 Bernalillo Active 09/30/1994 09/30/2013 Page 151 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0117771 Alicia Lynn Jones 0141651 Substance Abuse Associate Alicia Lynn Jones 1297 Alcohol and Drug Counselor Ann(Anya) R. Jones 0762 Professional Mental Health Counselor Carolyn O. Jones 0059481 Clinical Mental Health Counselor (LPCC) Lendell Jones 0130561 Alcohol and Drug Counselor Leslie Jones 0058512 Clinical Mental Health Counselor (LPCC) Minnie H. Jones 0129501 Alcohol and Drug Counselor Stuart Jones 0130051 Substance Abuse Associate Theresa Davila Jones 0136541 Licensed Mental Health Counselor William E. Jones 0201 Licensed Mental Health Counselor Richard I. Jontry 0129761 Clinical Mental Health Counselor (LPCC) Claire M. Jordan 0108141 Alcohol and Drug Counselor James Burton Jordan 0147101 Clinical Mental Health Counselor (LPCC) Kimberly M. Jordan 0106 Alcohol and Drug Counselor Rosalie A. Campos Jordan Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 116 Cedar St. Clayton NM 88415 Union Upgraded 10/27/2008 09/30/2012 116 Cedar St. Clayton NM 88415 Union Active 07/18/2011 09/30/2014 102 South Laurelwood Dr. Austin TX 78733-3132 Travis Retired 11/30/1994 09/30/2009 1208 Los Arboles NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2014 4201 Windsor Drive Farmington NM 87402 San Juan Active 08/31/2002 09/30/2013 2104 Hayes Portales NM 88130 Roosevelt Active 03/22/2010 09/30/2013 P.O. Box 2691 Kirtland NM 87417-2691 San Juan Active 01/31/2003 09/30/2014 P.O. Box 348 Casa Blanca NM 87007 Cibola Active 02/10/2010 09/30/2013 P.O. Box 435 Corrales NM 87048 Sandoval Active 02/24/2010 09/30/2013 6723 Dakota Ridge Dr. El Paso TX 79912 El Paso Active 11/29/2010 09/30/2014 Hilltop Farm / 1089 Nesbitt Road Colora MD 21917 Cecil Expired 06/30/1994 09/30/1999 218 Manzano NE Albuquerque NM 87108 Bernalillo Active 02/18/2010 09/30/2013 9 Carlito Road Santa Fe NM 87508 Santa Fe Active 10/04/2007 09/30/2013 1400 Michigan Ave. Alamogordo NM 88310 Otero Active 02/09/2012 09/30/2013 3554 Dakota St. NE Albuquerque NM 87110 Bernalillo Active 05/31/1994 09/30/2014 Page 152 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0086541 Pamela M. Joseph 0083401 Licensed Mental Health Counselor Josie Abbenante 0107851 CEU Provider Certificate Shelley E. Joy 4087 Marriage and Family Therapist Roxie A. Joyner 0139471 Clinical Mental Health Counselor (LPCC) Juan Blea 005540 CEU Provider Certificate Gerry Ann Juchniewicz 0089541 Clinical Mental Health Counselor (LPCC) Judy Talley 0102241 CEU Provider Certificate Valarie S Juerling 1829 Marriage and Family Therapist Jeanne Juliet 0095391 Clinical Mental Health Counselor (LPCC) Michael C. Just 005654 Clinical Mental Health Counselor (LPCC) Cynthia W. Justice 0149691 Substance Abuse Associate Jvona K. Watkins Cowart 0137941 CEU Provider Certificate Elisabeth K. Kadel 0145371 Licensed Mental Health Counselor John Leo Kadela 0071991 Clinical Mental Health Counselor (LPCC) Elsie M. Kahn Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 92154 Albuquerque NM 87199 Bernalillo Active 09/21/2005 09/30/2014 4808 McKnight NE Albuquerque NM 87110 Bernalillo Active 07/01/2005 09/30/2013 525 Camino Tierra Alta Santa Fe NM 87501 Santa Fe Retired 09/28/2007 09/30/2009 P.O. Box 776 Portales NM 88130 Roosevelt Active 06/30/1999 09/30/2013 2442 Cerrillos Rd. #195 Santa Fe NM 87505 Santa Fe Active 04/18/2011 09/30/2013 5737 Peppertree Place NE Albuquerque NM 87111 Bernalillo Active 08/31/2000 09/30/2014 1001 Gold Ave. SW Albuquerque NM 87102 Bernalillo Active 01/30/2006 09/30/2013 1 Apache Plume Los Alamos NM 87544 Los Alamos Active 03/26/2007 09/30/2014 55 County Road 122 Espanola NM 87532 Rio Arriba Active 10/31/1994 09/30/2013 13626 County Road 35.6 Mancos CO 81328 Montezuma Active 08/10/2006 09/30/2013 #80 Ponderosa Place Jemez Springs NM 87025 Sandoval Active 12/31/2000 09/30/2014 98 Horseshoe Hill Road Jemez Springs NM 87025 Sandoval Active 05/01/2012 09/30/2013 7 Cave Road Cerrillos NM 87010 Santa Fe Active 02/15/2011 09/30/2014 4010 Galt Ocean Dr. Fort Lauderdale FL 33308 Broward Active 12/07/2011 09/30/2013 P.O. Box 917 Window Rock AZ 86515 Apache Expired 02/29/2004 09/30/2009 Page 153 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2556 Yvonne D. Kahn 0099021 Clinical Mental Health Counselor (LPCC) Christine June Kaiser 0128881 Substance Abuse Associate Christine June Kaiser 0152391 Alcohol and Drug Counselor Christine June Kaiser 3372 Clinical Mental Health Counselor (LPCC) Joan E. Kaiser 0145161 Clinical Mental Health Counselor (LPCC) David B. Kallweit 0151381 Temporary License David B. Kallweit 0095201 Temporary License George James Kalogeros-Chattan 0297 Substance Abuse Associate Karen E. Kalwaic 0129211 Professional Mental Health Counselor Reshma Kamal 0152891 Licensed Mental Health Counselor Reshma Kamal 0126231 Temporary License Fereidoun Kamali 0065872 Licensed Mental Health Counselor Gabriel J. Kanawite 2265 Substance Abuse Associate Phyllis T. Kane 0082711 Clinical Mental Health Counselor (LPCC) Janice M. Karasz-Rothell Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3424 Montreal NE Albuquerque NM 87111 Bernalillo Active 02/28/1995 09/30/2014 1316 N West St. Silver City NM 88061 Grant Expired 12/14/2006 09/30/2009 1316 N West St. Silver City NM 88061 Grant Active 01/20/2010 09/30/2013 1316 N West St. Silver City NM 88061 Grant Active 08/17/2012 09/30/2013 404 Cortez Place Santa Fe NM 87501 Santa Fe Active 08/31/1999 09/30/2014 73 Los HOrnos Lamy NM 87540 Santa Fe Null and Void 11/30/2011 06/30/2012 73 Los HOrnos Lamy NM 87540 Santa Fe Active 07/06/2012 02/28/2013 P.O. Box 1229 Santa Cruz NM 87567 Santa Fe Retired 08/07/2006 09/30/2009 3132 Glenwood Drive NW #2 Albuquerque NM 87107 Bernalillo Active 10/31/1994 09/30/2013 P.O. Box 22064 Santa Fe NM 87502 Santa Fe Active 01/28/2010 09/30/2013 P.O. Box 22064 Santa Fe NM 87502 Santa Fe Active 08/29/2012 03/31/2013 1621 Pablo Ct. NE Albuquerque NM 87112 Bernalillo Active 09/23/2009 09/30/2013 P.O. Box 1174 Gallup NM 87305 McKinley Active 02/28/2003 09/30/2014 800 Maxine NE Albuquerque NM 87123 Bernalillo Active 07/31/1994 09/30/2013 Box 2190 Los Lunas NM 87031 Valencia Active 06/15/2005 09/30/2014 Page 154 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0155991 Karla Kay Steen 0144091 CEU Provider Certificate Magdalena Violet Karlick 0146971 Art Therapist Magdalena Violet Karlick 0127321 Clinical Mental Health Counselor (LPCC) Deborah S. Karn 0103331 Clinical Mental Health Counselor (LPCC) Kristin E. Kaserman 1557 Marriage and Family Therapist Carole L. Kasic 0108021 Professional Mental Health Counselor Kate K. Greenway 0151441 CEU Provider Certificate Katherine Paras 1066 CEU Provider Certificate Anna Katherine 0150831 Clinical Mental Health Counselor (LPCC) Michelle Katz 0080321 Licensed Mental Health Counselor Gautama Katzman 722 Marriage and Family Therapist Kulwant Kaur 0067402 Clinical Mental Health Counselor (LPCC) Frances Kean 0102151 Licensed Mental Health Counselor Karen A. Keating 0099501 Alcohol and Drug Counselor Karen A. Keating Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1925 Anita Drive Las Cruces NM 88001 Dona Ana Active 01/03/2013 09/30/2014 4910 B Nicholas Place Santa Fe NM 87507 Santa Fe Active 10/13/2011 09/30/2013 4910 B Nicholas Place Santa Fe NM 87507 Santa Fe Active 02/02/2012 09/30/2013 33 Hunter Ct. Durango CO 81301 La Plata Active 11/03/2009 09/30/2013 1117 Maxine St NE Albuquerque NM 87112 Bernalillo Active 05/01/2007 09/30/2014 1308 Nakomis Dr. NE Apt. F Albuquerque NM 87112 Bernalillo Retired 01/31/1995 09/30/2009 41 Azul Loop Santa Fe NM 87508 Santa Fe Expired 10/02/2007 09/30/2009 903 West Alamdea #748 Santa Fe NM 87501 Santa Fe Active 07/09/2012 09/30/2013 210 Gonzales Road Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2014 976 S. Belvior Blvd. Cleveland OH 44121 Cuyahoga Active 06/18/2012 09/30/2013 1360 Pinon Ringe Rd. Sandia Park NM 87047 Bernalillo Active 03/23/2005 09/30/2014 1 Yucca Place Placitas NM 87043 Sandoval Active 06/30/1994 09/30/2014 3044 Plaza Blanca Santa Fe NM 87507 Santa Fe Retired 08/31/2003 09/30/2008 212 Hollow Drive Pagosa Springs CO 81147 Archuleta Active 03/21/2007 09/30/2014 212 Hollow Drive Pagosa Springs CO 81147 Archuleta Active 12/26/2006 09/30/2014 Page 155 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0138371 Bethanne Kee 0134 Substance Abuse Associate Marsha L. Keener 0103571 Art Therapist Cynthia J. Keeran 0073301 Clinical Mental Health Counselor (LPCC) Raymond Mike Keeswood, Jr. 0156141 Alcohol and Drug Counselor Lacy A. Keith 0066852 Licensed Mental Health Counselor Julia R. Keleher 0090801 Licensed Mental Health Counselor Lula Kelhoyouma 0148331 Substance Abuse Associate Lula Kelhoyouma 0154321 Temporary License Lula Kelhoyouma 1421 Temporary License Margaret E. Kelley 0141891 Clinical Mental Health Counselor (LPCC) Kari A. Kelly 4067 Licensed Mental Health Counselor Kim Kelly 0093621 Art Therapist Cheri Kemp 3815 Clinical Mental Health Counselor (LPCC) Linda L. Kemp 3901 Alcohol and Drug Counselor Peter B. Kemp Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 304 Ridge Road Silver City NM 88062 Grant Active 03/02/2011 09/30/2014 1520 Phoenix NW Albuquerque NM 87107 Bernalillo Active 05/31/1994 09/30/2014 8830 Keeran Lane N.E. Albuquerque NM 87122 Bernalillo Active 05/10/2007 09/30/2014 P.O. Box 873 Waterflow NM 87421 San Juan Active 05/10/2004 09/30/2013 1525 S. Avenue C Portales NM 88130 Roosevelt Active 01/11/2013 09/30/2014 1213 Monroe Court NE Albuquerque NM 87110 Bernalillo Active 05/31/2003 09/30/2013 P.O. Box 362 Pinehill NM 87357 Cibola Active 03/13/2006 09/30/2013 P.O. Box 362 Pinehill NM 87357 Cibola Null and Void 03/22/2012 10/31/2012 P.O. Box 362 Pinehill NM 87357 Cibola Active 10/19/2012 04/30/2013 213 Alamo Dr. Santa Fe NM 87501 Santa Fe Active 06/30/1994 09/30/2013 490 Fox Rd. Lake Arthur NM 88253 Chaves Active 07/26/2011 09/30/2014 3337 Oak Forest Place Escondido CA 92027 San Diego Active 01/31/2000 09/30/2013 1000 Rocky Road Socorro NM 87801 Socorro Active 06/20/2006 09/30/2013 713 N. Allen Avenue Farmington NM 87401 San Juan Active 05/31/1997 09/30/2013 713 N. Allen Ave. Farmington NM 87401 San Juan Active 01/31/1995 09/30/2013 Page 156 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0093681 Rodney B. Kemp 2549 Clinical Mental Health Counselor (LPCC) Nancy S. Kendall 0151821 Professional Mental Health Counselor Kathleen A Kenefick 0990 Clinical Mental Health Counselor (LPCC) Christine A. Kenna 0153411 Clinical Mental Health Counselor (LPCC) Alyce Kennedy-Curl 0132821 Clinical Mental Health Counselor (LPCC) Kimberly D. Kennedy 0089291 Licensed Mental Health Counselor Kristin Elizabeth Kennedy 0149071 Alcohol and Drug Counselor Kristin Elizabeth Kennedy 0156001 Licensed Mental Health Counselor Kenneth Reid 0138591 CEU Provider Certificate Verna Ann Kenneth 005931 Substance Abuse Associate Constance E Kent 0143351 Licensed Mental Health Counselor Judith L. Kerens 0108731 Alcohol and Drug Counselor Kerin K. Groves, MS, LPCC 0151641 CEU Provider Certificate Autumn E. Kern 0105601 Licensed Mental Health Counselor Kenneth R. Kernagis Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3221 Nothwest Drive Hobbs NM 88240 Lea Active 06/20/2006 09/30/2013 2313 General Marshall NE Albuquerque NM 87112 Bernalillo Active 08/30/1994 09/30/2013 1750 30th St. # 631 Boulder CO 80301 Boulder Active 07/31/2012 09/30/2013 1304 Kirby N.E. Albuquerque NM 87112 Bernalillo Active 12/31/1997 09/30/2014 P.O. Box 93366 Albuquerque NM 87199-3366 Bernalillo Active 09/17/2012 09/30/2014 4964 Chromium Drive NE Rio Rancho NM 87124 Sandoval Active 06/11/2010 09/30/2013 6464 Monte Serrano NE Albuquerque NM 87111 Bernalillo Active 01/19/2006 09/30/2013 6464 Monte Serrano NE Albuquerque NM 87111 Bernalillo Active 04/12/2012 09/30/2013 658 Cumbre Vista Santa Fe NM 87501 Santa Fe Active 01/03/2013 09/30/2014 Box # 441 Prewitt NM 87045 McKinley Active 03/15/2011 09/30/2014 736 Dakota SE Albuquerque NM 87108 Bernalillo Active 05/31/2001 09/30/2013 1301 S. Tularousa St. Deming NM 88030 Luna Active 09/19/2011 09/30/2013 7920 Mountain Road NE Albuquerque NM 87110 Bernalillo Active 10/29/2007 09/30/2013 104 Jimenez St. Santa Fe NM 87501 Santa Fe Active 07/19/2012 09/30/2013 3007 Marquette Ave Farmington NM 87402 San Juan Active 07/17/2007 09/30/2014 Page 157 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0140551 Annette M. Kerr 0139761 Clinical Mental Health Counselor (LPCC) Michael Hugo Kershaw 0116571 Clinical Mental Health Counselor (LPCC) Elizabeth G. Kessler 1272 Temporary License Dharam Dev K. Khalsa 1422 Clinical Mental Health Counselor (LPCC) Gurucharan S. Khalsa 1563 Clinical Mental Health Counselor (LPCC) Hari Charn K. Khalsa 3532 Professional Mental Health Counselor Hari Charn K. Khalsa 0125931 Alcohol and Drug Counselor Harikrishan Kaur Khalsa 1715 Clinical Mental Health Counselor (LPCC) Manjit K. Khalsa 0107691 Clinical Mental Health Counselor (LPCC) Manjit K. Khalsa 0397 Clinical Mental Health Counselor (LPCC) Mukta Kaur Khalsa 3416 Professional Mental Health Counselor Mukta Kaur Khalsa 0349 Alcohol and Drug Counselor Sat-Kaur Khalsa 0350 Marriage and Family Therapist Sat-Kaur Khalsa 1093 Clinical Mental Health Counselor (LPCC) Shanti Shanti Kaur Khalsa Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 6901 Luz De La Luna Pl. NW Albuquerque NM 87114 Bernalillo Active 06/08/2011 09/30/2014 4299 Tellbrook Rd. Las Cruces NM 88011 Dona Ana Active 05/04/2011 09/30/2014 85 Entrada Aragon Rd. Los Lunas NM 87031 Valencia Active 09/08/2008 10/31/2009 9250 Wilshire Blvd. Suite 303 Beverly Hills CA 90212 Los Angeles Active 07/31/1994 09/30/2014 0841 sw gaines st #704 portland OR 97239 27 Shady Lane Espanola NM 87532 Multnomah Active 09/30/1994 09/30/2014 Rio Arriba Active 08/30/1994 09/30/2013 27 Shady Lane Espanola NM 87532 Rio Arriba Active 02/28/1997 09/30/2014 1417 Montana Vista Espanola NM 87532 Rio Arriba Active 09/14/2009 09/30/2013 166 Village St. Millis MA 02054 Norfolk Retired 07/31/1994 09/30/2009 2 Sombrillo Rd Espanola NM 87532 Rio Arriba Active 09/26/2007 09/30/2013 1A Ram Das Guru Pl. Espanola NM 87532 Rio Arriba Active 05/31/1994 09/30/2013 1A Ram Das Guru Pl. Espanola NM 87532 Rio Arriba Active 02/28/1997 09/30/2014 409 E Coronado Road #3 Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 409 E Coronado Road #3 Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2014 P.O. Box 1925 Espanola NM 87532 Rio Arriba Active 09/30/1994 09/30/2013 Page 158 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0142071 Sandra L. Khoury 0148241 Alcohol and Drug Counselor Sandra L Ki 0155291 Temporary License Sandra L Ki 0072471 Temporary License Janice Kiehne 0147561 Licensed Mental Health Counselor Tracy Reagan Kiele 0107461 Marriage and Family Therapist Sandra M. Kiersky 0168 Clinical Mental Health Counselor (LPCC) Teresa G. Kilburn 0069032 Clinical Mental Health Counselor (LPCC) Mary Joan Kilgen Truesdell 0132631 Clinical Mental Health Counselor (LPCC) Racheal M. Killgore 0148171 Licensed Mental Health Counselor Racheal M. Killgore 0153971 Temporary License Racheal M. Killgore 1356 Temporary License Sage S. Kimble 006111 Clinical Mental Health Counselor (LPCC) Shannon M. Kimbro 0128111 Licensed Mental Health Counselor Elizabeth Ellen King-Miller 0120971 Licensed Mental Health Counselor Annie D. King Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 27 Fowler Lane East Hartford CT 06118 Hartford Active 08/03/2011 09/30/2014 PO Box 155 Tohatchi NM 87325 McKinley Null and Void 03/21/2012 10/31/2012 PO Box 155 Tohatchi NM 87325 McKinley Active 11/30/2012 06/30/2013 P.O. Box 1 Luna NM 87824 Catron Active 03/31/2004 09/30/2013 8315 Ilex Drive Colorado Springs CO 80920 El Paso Active 02/28/2012 09/30/2013 44 Alteza Avenue Santa Fe NM 87508 Santa Fe Active 09/18/2007 09/30/2014 5031 South 88th E Avenue Tulsa OK 74145 Tulsa Retired 06/30/1994 09/30/2008 P.O. Box 185 Socorro NM 87801 Socorro Active 12/31/2003 09/30/2014 1115 Rancho Rd. Gallup NM 87301 McKinley Active 06/07/2010 09/30/2013 1115 Rancho Rd. Gallup NM 87301 McKinley Null and Void 03/21/2012 10/31/2012 1115 Rancho Rd. Gallup NM 87301 McKinley Active 10/09/2012 05/31/2013 343 Morningside DR NE Albuquerque NM 87108 Bernalillo Active 06/30/1994 09/30/2014 8612 San Francisco Albuquerque NM 87109 Bernalillo Retired 10/31/2001 09/30/2009 5201 Market Street Oakland CA 94608 Alameda Active 12/16/2009 09/30/2013 1713 Santa Fe River Rd. Santa Fe NM 87501 Santa Fe Active 02/27/2009 09/30/2013 Page 159 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145921 Annie D. King 005984 Art Therapist Betty Sue King 0076291 Clinical Mental Health Counselor (LPCC) Cecilia F. King 0097601 Clinical Mental Health Counselor (LPCC) Gloria K. King 4878 Professional Mental Health Counselor Lee E. King 0131581 Alcohol and Drug Counselor Lisa Marie King 0763 Alcohol and Drug Counselor Ro King 0112811 Clinical Mental Health Counselor (LPCC) Sharon M. King 0069591 Licensed Mental Health Counselor Sylvia Ann King 0118911 Alcohol and Drug Counselor Taya King 3816 Clinical Mental Health Counselor (LPCC) Theresa A. King 4905 Alcohol and Drug Counselor John P. Kinney 0108161 Alcohol and Drug Counselor John P. Kinney 0143171 Clinical Mental Health Counselor (LPCC) Helena E. Kintonis 0155821 Clinical Mental Health Counselor (LPCC) Kristal Kinzer Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1713 Santa Fe River Rd. Santa Fe NM 87501 Santa Fe Active 12/29/2011 09/30/2013 1417 S. Cliff Dr. Gallup NM 87301-5901 McKinley Active 06/30/2001 09/30/2014 508 Rio Grande Ave. Santa Fe NM 87501 Santa Fe Active 09/30/2004 09/30/2013 P.O. Box 173 Shiprock NM 87420 San Juan Active 10/24/2006 09/30/2013 2080 Bugatti Las Cruces NM 88001 Dona Ana Active 06/30/1999 09/30/2014 2434 Sarracino Ct Gallup NM 87301 McKinley Active 04/23/2010 09/30/2013 10 Camino Peralta Santa Fe NM 87507 Santa Fe Active 07/31/1994 09/30/2013 P.O. Box 22070 Santa Fe NM 87502-2070 Santa Fe Active 04/09/2008 09/30/2014 108 A Gallegos Lane Tularosa NM 88352 Otero Active 12/31/2003 09/30/2013 21 Sunlit Dr. E Santa Fe NM 87508 Santa Fe Retired 12/22/2008 09/30/2010 5154 Lilla Rd. Las Cruces NM 88011 Dona Ana Active 03/31/1997 09/30/2014 42 Cabezon Placitas NM 87043 Sandoval Active 01/31/2000 09/30/2013 42 Cabezon Placitas NM 87043 Sandoval Active 10/04/2007 09/30/2013 3302 Abbott Place Roswell NM 88201 Chaves Active 09/14/2011 09/30/2013 4775 Kerry Ann Place Las Cruces NM 88012 Dona Ana Active 12/21/2012 09/30/2014 Page 160 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3188 Janna Kipness 0090671 Clinical Mental Health Counselor (LPCC) Clarence F. Kirby 0066 Clinical Mental Health Counselor (LPCC) Joanne Kirby 0102911 Clinical Mental Health Counselor (LPCC) Kelly Hixon Kirchgessner 0401 Substance Abuse Associate Ann E. Kirkpatrick 0101501 Professional Mental Health Counselor Kirsten Hockemeier, LISW 0154901 CEU Provider Certificate Jocelyne Klasen 0121671 Clinical Mental Health Counselor (LPCC) Linda Kay Klauschie 2115 Licensed Mental Health Counselor Nina A. Klebanoff 0092001 Clinical Mental Health Counselor (LPCC) Carla A. Kleefeld 006097 Clinical Mental Health Counselor (LPCC) Martin T. Klehn 1154 Alcohol and Drug Counselor Dale R. Klein 0074381 Art Therapist Dale R. Klein 0101591 Clinical Mental Health Counselor (LPCC) Theresa Susan Kliesen-Maravetz 3303 Clinical Mental Health Counselor (LPCC) Elizabeth R. Knapp Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2560 Camino San Patricio Santa Fe NM 87505 Santa Fe Active 05/31/1998 09/30/2014 10812 Lexington NE Albuquerque NM 87112 Bernalillo Active 03/07/2006 09/30/2013 10812 Lexington NE Albuquerque NM 87112 Bernalillo Active 06/30/1994 09/30/2014 13113 Oriente NE Albuquerque NM 87123 Bernalillo Retired 04/18/2007 09/30/2012 159 El Rey Drive Corrales NM 87048 Sandoval Active 05/31/1994 09/30/2013 2601 Wyoming BLVD. NE Suite 101 Albuquerque NM 87112 1614 Helena Drive Gallup NM 87301 Bernalillo Active 02/28/2007 09/30/2013 McKinley Active 11/16/2012 09/30/2014 1004 Wilmoore Drive SE Albuquerque NM 87106-4115 Bernalillo Active 03/17/2009 09/30/2014 1711 Camino la Canada Santa Fe NM 87501-2326 Santa Fe Active 09/30/1994 09/30/2013 P.O. Box 2063 Santa Fe NM 87504 Santa Fe Active 03/25/2006 09/30/2013 P.O. Box 2635 Santa Fe NM 87504 Santa Fe Active 09/30/2001 09/30/2013 705 Camino Hermosa Corrales NM 87048 Sandoval Active 08/30/1994 09/30/2014 705 Camino Hermosa Corrales NM 87048 Sandoval Active 07/13/2004 09/30/2013 813 Georgia St. SE Albuquerque NM 87108 Bernalillo Active 03/05/2007 09/30/2014 2821 Cloudcroft Las Cruces NM 88011 Dona Ana Active 06/30/1999 09/30/2013 Page 161 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1423 Charlotte C. Knauber-Ferriegel 005973 Clinical Mental Health Counselor (LPCC) Kristin Knight 0134901 Licensed Mental Health Counselor Lorri Knight 0806 Licensed Mental Health Counselor Harriet L.F. Knighten 0080441 Professional Mental Health Counselor Kristin Nyne Knoll 0097511 Licensed Mental Health Counselor JaNell Irene Knowles 0080801 Alcohol and Drug Counselor Rebecca Jane Knowles 0099321 Clinical Mental Health Counselor (LPCC) Laura Lynn Kobett 1226 Licensed Mental Health Counselor Mara R. Koch Taylor 0136791 Professional Mental Health Counselor Steven W. Koch 2548 Licensed Mental Health Counselor Sandra E. Koehler 0444 Professional Mental Health Counselor Terry Smith Koehler 0124601 Clinical Mental Health Counselor (LPCC) Alexa R. Koester 3092 Clinical Mental Health Counselor (LPCC) Kerri D. Koesters 0143931 Professional Mental Health Counselor Kerri D. Koesters Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7133 Kiowa NE Albuquerque NM 87110 Bernalillo Active 08/30/1994 09/30/2013 2118 Vista Lejano Las Cruces NM 88005 Dona Ana Active 06/30/2001 09/30/2013 61 State HWY 217 Tijeras NM 87059 Bernalillo Active 09/13/2010 09/30/2013 6108 Ponderosa NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 5439 6th St NW Albuquerque NM 87107 Bernalillo Active 03/25/2005 09/30/2014 P.O. Box 3174 Gallup NM 87305 McKinley Expired 10/19/2006 09/30/2009 204 Autumn Sage Lane Chaparral NM 88081 Dona Ana Active 04/05/2005 09/30/2014 2189 Sugar Pine Way Las Cruces NM 88012 Dona Ana Active 12/21/2006 09/30/2013 P.O. Box 2290 Pagosa Springs CO 81147 Archuleta Retired 08/30/1994 09/30/2008 3406 Ridgeway Dr Los Alamos NM 87544 Los Alamos Active 12/13/2010 09/30/2014 7801 Bursera Drive NW Albuquerque NM 87120 Bernalillo Active 12/31/1994 09/30/2014 1300 Villa Lila NE Albuquerque NM 87113 Bernalillo Active 06/30/1994 09/30/2014 3454 Mountainside Pkwy NE Albuquerque NM 87111 Bernalillo Active 07/20/2009 09/30/2013 920 jicarilla Hobbs NM 88240 Lea Active 12/31/1997 09/30/2014 920 jicarilla Hobbs NM 88240 Lea Active 10/06/2011 05/31/2012 Page 162 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153621 Susanne M. Koestner 2113 Licensed Mental Health Counselor John D. Kohn 0147221 Clinical Mental Health Counselor (LPCC) Daniele Cherry Kokidajo 0149051 Licensed Mental Health Counselor Janina T. Kokorowski 005807 Licensed Mental Health Counselor Luisa Kolker, M.A., LPC 0154301 Professional Mental Health Counselor Luisa Kolker, M.A., LPC 0137881 Temporary License Dawn J. Koons 0149021 Clinical Mental Health Counselor (LPCC) Vicki Lee Kowal 0114611 Clinical Mental Health Counselor (LPCC) Karen A. Kral 0089741 Clinical Mental Health Counselor (LPCC) Betty Sue Kramer 3000 Licensed Mental Health Counselor Hope Ann Krasner 0576 Clinical Mental Health Counselor (LPCC) Stella M. Krauss 3488 Clinical Mental Health Counselor (LPCC) Dee Ann Kreutzer 006002 Licensed Mental Health Counselor Ina R. Krieble 1716 Clinical Mental Health Counselor (LPCC) William Krieger Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1508 Princeton Dr. SE Albuquerque NM 87106 Bernalillo Active 09/25/2012 09/30/2014 615 Calle de Leon Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2013 7930 Rancho de Palomas NE Albuquerque NM 87109 Bernalillo Active 02/15/2012 09/30/2013 406A Nazario St. Santa Fe NM 87501 Santa Fe Active 04/12/2012 09/30/2013 2 Cuesta Lane Santa Fe NM 87508 Santa Fe Active 03/31/2001 09/30/2013 2 Cuesta Lane Santa Fe NM 87508 Santa Fe Active 10/19/2012 05/31/2013 810 Piedra Larga PL NE Albuquerque NM 87123 Bernalillo Active 02/09/2011 09/30/2014 5721 Miller Rd. NE Rio Rancho NM 87144 Sandoval Active 04/10/2012 09/30/2013 813 Wilfred Road Berthoud CO 80513 Larimer Retired 06/19/2008 09/30/2012 P.O. Box 29911 Santa Fe NM 87592 Santa Fe Active 02/03/2006 09/30/2013 830 B Live Oak Rd. NE Albuquerque NM 87122 Bernalillo Active 05/31/1996 09/30/2014 8000 Sierra Azul NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2014 1100 W. 21st. Clovis NM 88101 Curry Active 02/28/1997 09/30/2014 3300 Vista del Sur St. NW Albuquerque NM 87120-1546 Bernalillo Active 12/31/2001 09/30/2014 933 Georgia SE Albuquerque NM 87108 Bernalillo Active 08/30/1994 09/30/2014 Page 163 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0130671 Uma Devi Krishnan 0151111 Licensed Mental Health Counselor Uma Devi Krishnan 0145621 Marriage and Family Therapist Amy E. Krok 0155071 Temporary License John D. Krone 0156121 Licensed Mental Health Counselor Martha R Kronstedt 0078221 Alcohol and Drug Counselor Edward G. Kruis 0106801 Clinical Mental Health Counselor (LPCC) Edward G. Kruis 0066472 Alcohol and Drug Counselor Julie M Krupcale 0081851 Substance Abuse Associate Hasani Kudura 0106181 Alcohol and Drug Counselor Hasani Kudura 0096401 Professional Mental Health Counselor Elizabeth A. Kuhn 1565 Clinical Mental Health Counselor (LPCC) Beverly H. Kune 2121 Clinical Mental Health Counselor (LPCC) G. Owen Kunkle 0145531 Professional Mental Health Counselor Karol A. Kuruc 1566 Alcohol and Drug Counselor Mary Ellen Kurucz Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2750 Cisco Way Las Cruces NM 88003 Dona Ana Active 03/26/2010 09/30/2013 2750 Cisco Way Las Cruces NM 88003 Dona Ana Active 06/25/2012 09/30/2013 3775 Buffalo Grass Rd. Unit #1 Santa Fe NM 87507 Santa Fe Active 12/20/2011 07/31/2012 1407 Hermosa Drive SE Albuquerque NM 87108 Bernalillo Active 11/27/2012 09/30/2014 10200 2nd Street NW TRLR# 154 Albuquerque NM 87114 Bernalillo Active 01/11/2013 09/30/2014 1801 Las Tunas Dr. Las Cruces NM 88011 Dona Ana Active 01/03/2005 09/30/2013 1801 Las Tunas Dr. Las Cruces NM 88011 Dona Ana Active 08/22/2007 09/30/2014 648 Fernandez Road Taos NM 87571 Taos Active 05/31/2003 09/30/2014 P.O. Box 2019 Silver City NM 88062 Grant Retired 05/18/2005 09/30/2012 P.O. Box 2019 Silver City NM 88062 Grant Retired 07/31/2007 09/30/2012 PO Box 65922 Albuquerque NM 87193 Bernalillo Active 09/11/2006 09/30/2013 P.O. Box 22904 Santa Fe NM 87502 Santa Fe Active 07/31/1994 09/30/2013 1914 Tijeras Road Santa Fe NM 87505 Santa Fe Active 12/31/1994 09/30/2013 10300 Golf Course Rd NW, #307 Albuquerque NM 87114 Bernalillo Active 12/13/2011 09/30/2013 1453 Adams NE Albuquerque NM 87110 Bernalillo Active 08/30/1994 09/30/2014 Page 164 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0100251 Bryant J. Kusy 1157 Clinical Mental Health Counselor (LPCC) John G. Kutinac 0080771 Clinical Mental Health Counselor (LPCC) La Familia, Inc. dba La Familia-Namaste 0068372 CEU Provider Certificate Labans Addiction Specific Tranings 0099441 CEU Provider Certificate Diane Byrd Lacen 0146701 Licensed Mental Health Counselor Angela D. Lacey 2128 Licensed Mental Health Counselor Kathryn G. Lackner 0102251 Clinical Mental Health Counselor (LPCC) Lacuna Inc 0387 CEU Provider Certificate Matthew C. Ladish 0102661 Clinical Mental Health Counselor (LPCC) Janice N. Ladnier 2126 Clinical Mental Health Counselor (LPCC) Elsa M. LaFlamme, Ph.D. 1976 Clinical Mental Health Counselor (LPCC) James A. Lagattuta 0152501 Clinical Mental Health Counselor (LPCC) Ronald P. Lahti 0571 Substance Abuse Associate Nikki Laine 0103431 Marriage and Family Therapist J. Kathleen Laird Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 584 La Melodia Las Cruces NM 88011 Dona Ana Active 01/23/2007 09/30/2014 1155 S. Telshor Blvd., Ste. 200 Las Cruces NM 88011 Dona Ana Active 07/31/1994 09/30/2013 707 Broadway NE #103 Albuquerque NM 87102 Bernalillo Active 04/05/2005 09/30/2013 P.O. Box 126307 Harrisburg PA 17112 Dauphin Active 10/27/2003 09/30/2013 4409 Rancho Largo Road NW Albuquerque NM 87120 Bernalillo Active 12/26/2006 09/30/2014 4921 Golden Thread Dr. NE Albuquerque NM 87113 Bernalillo Active 01/25/2012 09/30/2013 1610 Lamont Place Carlsbad NM 88220 Eddy Active 07/31/1994 09/30/2014 7479 NDCBU 1332 Gusdorf Road/Suite A Taos NM 87571 4032 Calle De Estrellas Las Cruces NM 88012 Taos Active 03/27/2007 09/30/2013 Dona Ana Active 06/30/1994 09/30/2013 109 Los Hornos Lamy NM 87540 Santa Fe Active 04/11/2007 09/30/2014 101 Hospital Loop NE Suite 215 Albuquerque NM 87109 1506 Desoto Pl. Greensboro NC 27408 Bernalillo Active 08/30/1994 09/30/2014 Guilford Retired 09/27/1995 09/30/2008 318 North Third Street Belen NM 87002 Valencia Active 08/21/2012 09/30/2013 1200 Lafayette Drive NE Albuquerque NM 87106 Bernalillo Active 08/30/1994 09/30/2013 227 Anita Place Santa Fe NM 87505 Santa Fe Active 05/03/2007 09/30/2014 Page 165 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0311 Elaine M. Laity 006294 Professional Mental Health Counselor Judy T. Lajuenesse 0134121 Substance Abuse Associate Marie A Lajuenesse 3297 Alcohol and Drug Counselor Patricia M. Lake 0118421 Clinical Mental Health Counselor (LPCC) Rebecca J. Lamb 0080831 Clinical Mental Health Counselor (LPCC) Geralda K. Lambert 2130 Alcohol and Drug Counselor Sharon A. Lamoree-Lukasavage 0126041 Clinical Mental Health Counselor (LPCC) Mary Wheeler Lampkin 0149891 Licensed Mental Health Counselor Cynthia M. Lancaster 0119641 Substance Abuse Associate Mark L. Lancaster 0134391 Alcohol and Drug Counselor Mark L. Lancaster 0122801 Clinical Mental Health Counselor (LPCC) George Michael Lande 0122811 Alcohol and Drug Counselor George Michael Lande 3350 Clinical Mental Health Counselor (LPCC) Laura Jane Landis 0089001 Clinical Mental Health Counselor (LPCC) Carolyn Landrum Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4212 Montreal Loop NE Rio Rancho NM 87144-8452 Sandoval Active 05/31/1994 09/30/2013 24 LOS Chavez Pk. Belen NM 87002 Valencia Active 01/31/2002 09/30/2014 4312 Blumenshine Cir Albuquerque NM 87105 Bernalillo Active 08/06/2010 09/30/2013 6804 Otono Ct. NW Albuquerque NM 87120 Bernalillo Active 12/31/1996 09/30/2013 77 Lomas de Tesuque Santa Fe NM 87506 Santa Fe Active 11/18/2008 09/30/2014 111 Placitas NW, #4 Albuquerque NM 87107 Bernalillo Active 04/05/2005 09/30/2014 PO Box 3566 Moriarty NM 87035 Torrance Active 09/30/1994 09/30/2014 P.O. Box 442 Veguita NM 87062 Socorro Active 09/16/2009 09/30/2013 PO Box 484 Estancia NM 87016 Torrance Active 05/10/2012 09/30/2013 Unit 15543 Box 93 APO AP 96224 Active 01/20/2009 09/30/2013 Unit 15543 Box 93 APO AP 96224 Active 08/19/2010 09/30/2013 3621 North Pole Loop NE Rio Rancho NM 87144 Sandoval Active 05/12/2009 09/30/2013 3621 North Pole Loop NE Rio Rancho NM 87144 Sandoval Active 05/12/2009 09/30/2013 1097 E. 6th Circle Broomfield CO 80020 Broomfield Active 04/30/1997 09/30/2014 215 West Rojo Street Hobbs NM 88240 Lea Active 01/04/2006 09/30/2013 Page 166 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1158 Mary Ann Landry 0088191 Clinical Mental Health Counselor (LPCC) Susan Lane 0096291 Clinical Mental Health Counselor (LPCC) Jennifer E Lange 0130401 Licensed Mental Health Counselor Laura L. Lansrud-Lopez 0127681 Clinical Mental Health Counselor (LPCC) Laura L. Lansrud-Lopez 0116281 Art Therapist Maria Ann Laquerre 1360 Marriage and Family Therapist Audrey Lara 0133791 Professional Mental Health Counselor Linda B. Lara 0152581 Clinical Mental Health Counselor (LPCC) Scott A. Larabee 0088741 Temporary License Ann B. Largent 0090941 Clinical Mental Health Counselor (LPCC) Robin E. LaRocque 0124371 Clinical Mental Health Counselor (LPCC) Francie R. Larsen 0596 Clinical Mental Health Counselor (LPCC) Susan E. Larsen 0135901 Clinical Mental Health Counselor (LPCC) John Paul Larson 3354 Clinical Mental Health Counselor (LPCC) Lydia L. Larson Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 81853 Albuquerque NM 87198-1853 Bernalillo Active 12/31/1997 09/30/2014 2001 Mountain Road NW, Suite B Albuquerque NM 87104 Bernalillo Active 12/08/2005 09/30/2014 5409 Carrithers St. NE Albuquerque NM 87111 Bernalillo Active 09/07/2006 09/30/2013 4751 Arroyo Risueno Santa Fe NM 87507 Santa Fe Active 03/15/2010 09/30/2013 4751 Arroyo Risueno Santa Fe NM 87507 Santa Fe Active 11/24/2009 09/30/2013 2977 Onate Road Las Cruces NM 88007 Dona Ana Active 08/22/2008 09/30/2014 3 Pine Place Roswell NM 88203 Chaves Active 09/30/1994 09/30/2014 P.O. Box 631997 Highlands Ranch CO 80163 Douglas Active 07/26/2010 09/30/2013 5203 Apache Trail Las Cruces NM 88012 Dona Ana Active 08/22/2012 03/31/2013 P.O. Box 178 San Jon NM 88434 Quay Active 12/27/2005 09/30/2014 1821 Ocotillo Dr. Alamogordo NM 88310 Otero Active 03/14/2006 09/30/2013 11840 Bucking Bronco TR SE Albuquerque NM 87123 Bernalillo Active 07/13/2009 09/30/2013 #4 Paseo Village Clovis NM 88101 Curry Active 07/31/1994 09/30/2013 4211 Hannett Ave NE Albuquerque NM 87110 Bernalillo Active 11/01/2010 09/30/2014 316 Bell Park Circle SE Albuquerque NM 87108 Bernalillo Active 06/30/1998 09/30/2014 Page 167 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0129781 Ruth A. Larson 0086031 Clinical Mental Health Counselor (LPCC) Deanna Marie Lasater 1424 Clinical Mental Health Counselor (LPCC) Thomas J. Lascari 0103581 Clinical Mental Health Counselor (LPCC) Ann F. Laser 005450 Clinical Mental Health Counselor (LPCC) Amy Lashway-Cisneros 0109231 Professional Mental Health Counselor Katherine Whitney Latimer 0093741 Licensed Mental Health Counselor Joseph Baggett Latting 0093691 Professional Mental Health Counselor Tina C. LaTurner 0108811 Clinical Mental Health Counselor (LPCC) Sunny Avens Laurenne 0149281 Licensed Mental Health Counselor Sunny Avens Laurenne 0144901 Temporary License Sophia Corinne Lauritsen 0063941 Clinical Mental Health Counselor (LPCC) Linda Sue Lauver 0120391 Professional Mental Health Counselor Renee D. Lavadie 005529 Substance Abuse Associate Teresa A. Law 0100731 Clinical Mental Health Counselor (LPCC) William A. Law Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1111 Amherst Dr. SE. #31 Albuquerque NM 87106 104 S. 6t St. Socorro NM 87801 Bernalillo Active 02/18/2010 09/30/2013 Socorro Active 09/08/2005 09/30/2014 683 Cedardale Loop Las Cruces NM 88005-0921 Dona Ana Active 07/31/1994 09/30/2014 270 Calle Loma Norte Santa Fe NM 87501 Santa Fe Active 05/10/2007 09/30/2014 7 Jornada Loop Santa Fe NM 87508 Santa Fe Active 03/07/2001 09/30/2014 1703 Jay St. Santa Fe NM 87505 Santa Fe Active 11/19/2007 09/30/2013 47 Loma Serena Santa Fe NM 87506 Santa Fe Active 06/21/2006 09/30/2013 6315 Vista Sierra St. NW Albuquerque NM 87120 Bernalillo Active 06/20/2006 09/30/2013 PO Box 14866 Albuquerque NM 87191 Bernalillo Active 11/01/2007 09/30/2014 PO Box 14866 Albuquerque NM 87191 Bernalillo Active 04/17/2012 06/30/2013 2 Coyote Loco Santa Fe NM 87508 Santa Fe Active 11/16/2011 09/30/2013 P.O. Box 2812 Ranchos de Taos NM 87557 Taos Active 07/31/2002 09/30/2014 P.O. Box 366 El Prado NM 87529 Taos Active 02/09/2009 09/30/2013 1733 Miracerros PL NE Albuquerque NM 87106 Bernalillo Active 03/31/2001 09/30/2013 402 E. Orchard Lane Carlsbad NM 88220 Eddy Active 02/07/2007 09/30/2014 Page 168 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0146561 Angelique J. Lawhenore 0146551 Licensed Mental Health Counselor Angelique J. Lawhenore 0111841 Alcohol and Drug Counselor Anne M. Lawrence 0133591 Marriage and Family Therapist Grant Douglas Lawrence 0468 Clinical Mental Health Counselor (LPCC) Marvin K. Lawrence 0506 Marriage and Family Therapist Marvin K. Lawrence 0120371 Professional Mental Health Counselor Tanya A. Laws 0133681 Licensed Mental Health Counselor Douglas A. Layer 3221 Licensed Mental Health Counselor H. Celeste Layne 0155911 Professional Mental Health Counselor Anne C. Lear 1301 Licensed Mental Health Counselor Phyllis E. Leavitt 1835 Clinical Mental Health Counselor (LPCC) Phyllis E. Leavitt 1229 Marriage and Family Therapist Linda C. LeClaire 0128421 Clinical Mental Health Counselor (LPCC) Rebecca Lee Ledezma-Chinchilla 0071311 Licensed Mental Health Counselor Lee King CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9031 Hwy 337 South Estancia NM 87016 Torrance Active 01/23/2012 09/30/2013 9031 Hwy 337 South Estancia NM 87016 Torrance Active 01/23/2012 09/30/2013 20 Campo Road Tijeras NM 87059 Bernalillo Active 03/05/2008 09/30/2014 3702 Maya Dr. Gallup NM 87301 McKinley Active 07/19/2010 09/30/2013 P.O. Box 2433 Waterville ME 04903 Kennebec Active 05/31/1994 09/30/2014 P.O. Box 2433 Waterville ME 04903 Kennebec Active 06/30/1994 09/30/2014 P.O. BOX 165 Tyrone NM 88065 Grant Active 02/09/2009 09/30/2013 162 Red Deer Ct. Las Cruces NM 88007 Dona Ana Active 07/22/2010 09/30/2013 927 28th Street South Arlington VA 22202 Arlington Active 10/31/1997 09/30/2013 PO Box 1312 Magdalena NM 87825 Socorro Active 12/28/2012 09/30/2014 208 Las Mananitas Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2013 208 Las Mananitas Santa Fe NM 87501 Santa Fe Active 09/30/1994 09/30/2013 303 La Cuesta Farmington NM 87401 San Juan Active 06/30/1994 09/30/2013 10536 Portofino NW Albuquerque NM 87114 Bernalillo Active 01/04/2010 09/30/2013 P.O. Box 1078 Las Cruces NM 88004 Dona Ana Active 03/31/2003 09/30/2013 Page 169 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0138361 Abigail Lee 0148021 Substance Abuse Associate Brenda K. Lee 0064791 Clinical Mental Health Counselor (LPCC) Charlotte Ann Lee 0140231 Clinical Mental Health Counselor (LPCC) Emily E. Lee 0097061 Licensed Mental Health Counselor Freddie F. Lee 006196 Substance Abuse Associate Luanne Harris Lee 0104381 Art Therapist Luanne Harris Lee 3875 Clinical Mental Health Counselor (LPCC) Maverette F. Lee 0077591 Substance Abuse Associate Michelle M. Lee 0154961 Professional Mental Health Counselor Michelle M. Lee 0147771 Clinical Mental Health Counselor (LPCC) Phyllis P. Lee 0152261 Temporary License Phyllis P. Lee 0086371 Temporary License Sarah L Lee 0150991 Marriage and Family Therapist Shannon Lee 0124181 Temporary License Stacy Moachell Lee Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2333 E. 11th St. Farmington NM 87401 San Juan Active 03/02/2011 09/30/2014 1740 Arlene Rd. SE Rio Rancho NM 87124 Sandoval Active 03/19/2012 09/30/2013 14 Loma Blanca Santa Fe NM 87501 Santa Fe Expired 12/31/2002 09/30/2009 236 Adams St. NE Apt. B Albuquerque NM 87108 Bernalillo Active 05/23/2011 09/30/2014 P.O. Box 23 Pinehill NM 87357 Cibola Active 09/28/2006 09/30/2013 87 Lena Court Corrales NM 87048 Sandoval Active 10/31/2001 09/30/2014 87 Lena Court Corrales NM 87048 Sandoval Active 06/06/2007 09/30/2014 P.O. Box 216 Shiprock NM 87420 San Juan Active 02/28/1997 09/30/2013 13336 Lodestone Tr. SE Albuquerque NM 87123 Bernalillo Active 12/01/2004 09/30/2013 13336 Lodestone Tr. SE Albuquerque NM 87123 Bernalillo Active 11/20/2012 09/30/2014 15 Rd. 3084 Aztec NM 87410 San Juan Null and Void 03/08/2012 03/31/3013 15 Rd. 3084 Aztec NM 87410 San Juan Null and Void 08/15/2012 03/31/2013 1101 Medical Arts Avenue Bldg #3 Albuquerque NM 87102 Bernalillo Active 09/15/2005 09/30/2014 6500 Champion Grandview Way Austin TX 78750 Travis Null and Void 06/21/2012 01/31/2013 P.O. Box 895 La Luz NM 88337 Otero Active 07/08/2009 09/30/2013 Page 170 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154251 Stacy Moachell Lee 0154921 Alcohol and Drug Counselor Stacy Moachell Lee 0119001 Licensed Mental Health Counselor Jackie S. Leeches 0148831 Clinical Mental Health Counselor (LPCC) Laura M. Leeder-Martinez 0068952 Substance Abuse Associate Melissa J. Leehan 0066252 Marriage and Family Therapist Jeffrey B. Leer 0080651 Substance Abuse Associate Jeffrey B. Leer 0099751 Clinical Mental Health Counselor (LPCC) Johanne M. Leger 006192 Licensed Mental Health Counselor Jack J. Lehman 0116051 Clinical Mental Health Counselor (LPCC) Risa Lehrer 0071001 Clinical Mental Health Counselor (LPCC) Amber C. Leichtle 0123571 Alcohol and Drug Counselor Melinda Jean Leighty 0130861 Licensed Mental Health Counselor Nathalie F. Lejeune-Smith 0150111 Licensed Mental Health Counselor Nathalie F. Lejeune-Smith 0142551 Clinical Mental Health Counselor (LPCC) Matthew E. Lemberger-Truelove Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 895 La Luz NM 88337 Otero Active 10/18/2012 09/30/2014 P.O. Box 895 La Luz NM 88337 Otero Active 11/16/2012 09/30/2014 4720 Urban Street Los Alamos NM 87544 Los Alamos Active 12/29/2008 09/30/2014 609 W. 20th St. Clovis NM 88101 Curry Active 04/04/2012 09/30/2013 7047 Vuelta Vistoso Santa Fe NM 87507 Santa Fe Active 10/31/2003 09/30/2014 4077 River Road Middletown PA 17057 Dauphin Active 04/30/2003 09/30/2013 4077 River Road Middletown PA 17057 Dauphin Active 04/01/2005 09/30/2013 419 Monroe NE #26 Albuquerque NM 87108 Bernalillo Active 01/09/2007 09/30/2014 14 Camino de Las Minas Santa Fe NM 87508 Santa Fe Active 12/31/2002 09/30/2014 HC 74 Box 22503 El Prado NM 87529 Taos Active 08/13/2008 09/30/2014 1311 North Orchard Espanola NM 87532 Rio Arriba Active 12/31/2003 09/30/2013 13229 Executive Ridge NE Albuquerque NM 87112 Bernalillo Active 06/10/2009 09/30/2013 700 West Taos Street Hobbs NM 88240 Lea Active 03/31/2010 09/30/2013 700 West Taos Street Hobbs NM 88240 Lea Active 05/24/2012 09/30/2013 8906 8th St. NW Albuquerque NM 87114 Bernalillo Active 08/18/2011 09/30/2014 Page 171 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145251 Melisa Lendino 0151141 Licensed Mental Health Counselor James A. Lengerich 0150751 Clinical Mental Health Counselor (LPCC) Nancy A. Lenke 0093501 Licensed Mental Health Counselor Lydia S. Lennihan 3499 Clinical Mental Health Counselor (LPCC) David L. Lente 0136 Alcohol and Drug Counselor Josie Lenwell 0147971 Marriage and Family Therapist Catherine D. León 0063721 Licensed Mental Health Counselor Beverly Leonard 0093211 Alcohol and Drug Counselor James Patrick Leonard 0395 Professional Mental Health Counselor George D. Leone 4504 Clinical Mental Health Counselor (LPCC) Frederick Henry Leonhardt 0149861 Licensed Mental Health Counselor Spring A. Lepak 0146861 Licensed Mental Health Counselor David W Lepori 0099171 Substance Abuse Associate Mark G. Lersch 0084561 Clinical Mental Health Counselor (LPCC) Leslie Nathanson CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1915 Bold Ruler SE Albuquerque NM 87123 Bernalillo Active 11/30/2011 09/30/2013 P.O. Box 274 Arroyo Hondo NM 87513 Taos Active 06/25/2012 09/30/2013 23 Forest Park Cedar Crest NM 87008 Bernalillo Active 06/14/2012 09/30/2013 1400 Carlisle Blvd. NE Suite A Albuquerque NM 87110 1642 State Road 314 Albuquerque NM 87105 Bernalillo Active 06/14/2006 09/30/2013 Bernalillo Active 01/31/1997 09/30/2013 3006 Cottontail Rd. Taos NM 87571 Taos Active 07/31/1994 09/30/2014 7639 Arroyo del Oso NE Albuquerque NM 87109 Bernalillo Active 03/19/2012 09/30/2013 P.O. Box 652 Zuni NM 87327 McKinley Active 07/31/2002 09/30/2013 P.O. Box 672 Cerrillos NM 87010 Santa Fe Active 05/31/2006 09/30/2013 P.O. Box 165 Serafina NM 87569 San Miguel Active 06/30/1994 09/30/2013 1840 Calle Barbarita Nw Albuquerque NM 87107-5650 Bernalillo Active 03/31/1998 09/30/2014 53 Old Agua Fria Rd. Santa Fe NM 87508 Santa Fe Active 05/08/2012 09/30/2013 12104 Rosemont Ave. NE Albuquerque NM 87112 Bernalillo Active 01/30/2012 09/30/2013 813 Wilfred Road Berthoud CO 80513 Larimer Retired 12/14/2006 09/30/2012 1313 Luana Street Santa Fe NM 87505 Santa Fe Active 07/29/2005 09/30/2013 Page 172 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0096211 Peggy A Lesniewicz 0102281 Clinical Mental Health Counselor (LPCC) Lester Brasher, LPCC 0152571 CEU Provider Certificate Gina M Letizia 0088091 Temporary License Janiece R. Leuschke 0130771 Professional Mental Health Counselor Richard Leveque 0150401 Licensed Mental Health Counselor Richard Leveque 0155561 Temporary License Richard Leveque 0125221 Temporary License Lynn Anne Levey 0145931 Clinical Mental Health Counselor (LPCC) Rhona S. Levine 0153711 Marriage and Family Therapist Jennifer R. Levy 0151331 Temporary License Sharon D. Lewin 0130701 Marriage and Family Therapist Sharon Dawn Lewin 0121261 Licensed Mental Health Counselor Carlton Deshawn Lewis 0092471 Clinical Mental Health Counselor (LPCC) Carlton W. Lewis 0098541 Alcohol and Drug Counselor Carlton W. Lewis Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9481 Co. Rd. B. Wauseon OH 43567 Fulton Retired 09/06/2006 09/30/2009 5605 Gladstone Rio Rancho NM 87144 Sandoval Active 03/27/2007 09/30/2013 2007 Kiva Rd. Santa Fe NM 87505 Santa Fe Active 08/22/2012 03/31/2013 P.O. Box 163 Serafina NM 87569 San Miguel Retired 12/06/2005 09/30/2008 2200 E. 1st St., Apt. 915 Apt. 915 Alamogordo NM 88310 2200 E. 1st St., Apt. 915 Apt. 915 Alamogordo NM 88310 2200 E. 1st St., Apt. 915 Apt. 915 Alamogordo NM 88310 1030 N. Pate St. Carlsbad NM 88220 Otero Active 03/29/2010 09/30/2013 Otero Null and Void 05/31/2012 12/31/2012 Otero Active 12/12/2012 07/31/2013 Eddy Active 08/13/2009 09/30/2013 10 Bella Loma Santa Fe NM 87506 Santa Fe Active 12/29/2011 09/30/2013 13905 Jason Place NE Albuquerque NM 87123 Bernalillo Active 09/25/2012 04/30/2013 1825 Myrtle Ave. Las Cruces NM 88001 Dona Ana Active 07/06/2012 09/30/2013 1825 Myrtle Avenue Las Cruces NM 88001 Dona Ana Active 03/26/2010 09/30/2013 901 Sandia Drive Clovis NM 88101 Curry Active 03/09/2009 09/30/2014 4526 Brookwood Street NE Albuquerque NM 87109-2755 Bernalillo Active 05/02/2006 09/30/2013 4526 Brookwood Street NE Albuquerque NM 87109-2755 Bernalillo Expired 11/21/2006 09/30/2009 Page 173 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0122291 Carlton W. Lewis 0109871 Clinical Mental Health Counselor (LPCC) Courtney A Lewis 0142321 Clinical Mental Health Counselor (LPCC) Lea V. Lewis 0138 Alcohol and Drug Counselor Robert E. Lewis 0084031 Marriage and Family Therapist Tiffany L. Lewis 0076121 Professional Mental Health Counselor Wyn Lewis 0153911 Clinical Mental Health Counselor (LPCC) Lydia Leyba 0145011 Substance Abuse Associate Jennifer Anthea Liatas-Underhill 0149041 Licensed Mental Health Counselor Carla S. Libby 0149101 Clinical Mental Health Counselor (LPCC) Jeffrey LiCalzi 0155251 Temporary License Jeffrey LiCalzi 0091731 Temporary License Rosanne Marie Licata 0144981 Professional Mental Health Counselor Rose Liceti 1972 Clinical Mental Health Counselor (LPCC) Marilyn A. Licht 0144541 Professional Mental Health Counselor Rosanne M. Liechti Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4526 Brookwood Street NE Albuquerque NM 87109-2755 Bernalillo Active 04/08/2009 09/30/2013 222B Mescalero Rd. NW Albuquerque NM 87107 Bernalillo Active 12/13/2007 09/30/2013 P.O. Box 1713 Los Lunas NM 87031 Valencia Active 08/11/2011 09/30/2014 6001 Moon Street NE Apt 124 Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2014 6030 N Mitre Avenue Fresno CA 93722 Fresno Active 07/13/2005 09/30/2013 214 Sereno Drive Santa Fe NM 87501 Santa Fe Active 09/27/2004 09/30/2013 2917 Calle Princesa Juana Santa Fe NM 87507 Santa Fe Active 10/04/2012 09/30/2014 3940 South Yaqui Drive #2C Flagstaff AZ 86001 Coconino Active 11/21/2011 09/30/2013 4270 Nambe Ct. Las Cruces NM 88011 Dona Ana Active 04/12/2012 09/30/2013 19 Lauro Road Santa Fe NM 87508 Santa Fe Null and Void 04/13/2012 11/30/2012 19 Lauro Road Santa Fe NM 87508 Santa Fe Active 11/29/2012 06/30/2013 9500 Osuna Rd. NE # 524 Albuquerque NM 87111 7451 NDCBU Taos NM 87571 Bernalillo Active 03/30/2006 09/30/2013 Taos Active 11/18/2011 09/30/2013 712 Amherst NE Albuquerque NM 87106 Bernalillo Active 11/30/1994 09/30/2014 5821 Bluewater Ct. Las Cruces NM 88012 Dona Ana Active 10/28/2011 05/31/2012 Page 174 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145291 Catherine A. Lieuwen 0155951 Temporary License Catherine A. Lieuwen 0072951 Temporary License Life Link Training Institute 0110191 CEU Provider Certificate Life Strategies Counseling, Inc. 0228 CEU Provider Certificate Diana Lightmoon 0118441 Clinical Mental Health Counselor (LPCC) Wesley Jo Linam 0126671 Licensed Mental Health Counselor David Phillip Linares 0150791 Licensed Mental Health Counselor David Phillip Linares 0153201 Temporary License David Phillip Linares 0066092 Temporary License Francine E Lindberg 0140201 Art Therapist Francine E Lindberg 0093421 Clinical Mental Health Counselor (LPCC) Mary K. Lindenmeyer 0064671 Clinical Mental Health Counselor (LPCC) Jeremy T. Lindsey 0766 Marriage and Family Therapist Linda M. Link 0122711 Clinical Mental Health Counselor (LPCC) Tatia O. Lipe Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2901 Calle Grande NW Albuquerque NM 87104 Bernalillo Null and Void 12/06/2011 12/31/2012 2901 Calle Grande NW Albuquerque NM 87104 Bernalillo Active 01/02/2013 10/31/2013 PO Box 5820 Santa Fe NM 87502 Santa Fe Active 04/26/2004 09/30/2013 4225 Montgomery Blvd. NE Albuquerque NM 87109 Bernalillo Expired 12/27/2007 09/30/2009 29 Chapala Road Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 4761 Puertocito Rd Sandia Park NM 87047 Bernalillo Active 11/19/2008 09/30/2014 3245 E. University Ave., Apt #1005 Las Cruces NM 88011 Dona Ana Active 10/14/2009 09/30/2013 3245 E. University Ave., Apt #1005 Las Cruces NM 88011 Dona Ana Null and Void 06/15/2012 01/31/2013 3245 E. University Ave., Apt #1005 Las Cruces NM 88011 Dona Ana Active 09/10/2012 04/30/2013 P.O. Box 372 El Prado NM 87529 Taos Active 03/31/2003 09/30/2014 P.O. Box 372 El Prado NM 87529 Taos Active 05/20/2011 09/30/2014 1010 Foothills Place Gallup NM 87301 McKinley Active 06/14/2006 09/30/2013 3711 Maya Dr. Gallup NM 87301 McKinley Active 10/31/2002 09/30/2014 P.O. Box 1289 Farmington NM 87499 San Juan Active 07/31/1994 09/30/2014 6424 Avenida Seville NW Albuquerque NM 87114 Bernalillo Active 05/07/2009 09/30/2013 Page 175 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0107981 Lisa Jaynes Johnson, PH.D, LMFT 0147061 CEU Provider Certificate Kimberly R. Litson 0113651 Substance Abuse Associate Crystal Roxanne Little 0087341 Alcohol and Drug Counselor Karen J. Little 2569 Clinical Mental Health Counselor (LPCC) Kellen E. Livermore 0135541 Professional Mental Health Counselor Sheryl B. Livingston 0146761 Licensed Mental Health Counselor Liz Cervio 3090 CEU Provider Certificate Linsay A. Locke 0118081 Art Therapist Paul Thomas Lockman, JR 0129311 Clinical Mental Health Counselor (LPCC) Jennifer Machelle Lockwood 0111031 Clinical Mental Health Counselor (LPCC) Meria L. Loeks 005964 Clinical Mental Health Counselor (LPCC) Claire E. Logan 0070031 Clinical Mental Health Counselor (LPCC) James W. Logan 1638 Clinical Mental Health Counselor (LPCC) Barbara J. Lolordo 0100261 Clinical Mental Health Counselor (LPCC) Gary Thomas Lombardo Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 817 Carlisle NE Albuquerque NM 87106 Bernalillo Expired 10/02/2007 09/30/2009 PO Box 3846 Shiprock NM 87420 San Juan Active 02/07/2012 09/30/2013 1808 Jenice Ct. Las Cruces NM 88001 Dona Ana Active 05/16/2008 09/30/2014 1018 Cedardale Las Cruces NM 88005 Dona Ana Active 10/18/2005 09/30/2014 135 Rincon Loop Tijeras NM 87059 Bernalillo Active 08/30/1994 09/30/2013 P.O. Box 2606 Gallup NM 87305 McKinley Active 10/18/2010 09/30/2014 25A Lime Kiln Rd. Lamy NM 87540 Santa Fe Active 01/26/2012 09/30/2013 5231 Gold Rush Dr. NW Albuquerque NM 87120 Bernalillo Active 11/30/1996 09/30/2014 100 New Mexico Drive Portales NM 88130 Roosevelt Active 11/03/2008 09/30/2014 101 E Plaza Clovis NM 88101 Curry Active 02/01/2010 09/30/2013 48-B Old Canoncito Rd. Santa Fe NM 87508 Santa Fe Active 02/05/2008 09/30/2014 12356 Claremont NE Albuquerque NM 87112 Bernalillo Active 07/31/2003 09/30/2014 12356 Claremont NE Albuquerque NM 87112 Bernalillo Active 01/31/2004 09/30/2013 271 Zuni River Circle SW Los Lunas NM 87031 Valencia Active 07/31/1994 09/30/2014 212 Sereno Dr. Santa Fe NM 87501 Santa Fe Active 01/23/2007 09/30/2014 Page 176 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3441 Charles E. Long 2866 Alcohol and Drug Counselor Darby Long 4360 Marriage and Family Therapist Eldon Long 005885 Alcohol and Drug Counselor Louise A. Long 005969 Marriage and Family Therapist Louise A. Long 0148301 Alcohol and Drug Counselor Misty Aja Long 0146041 Licensed Mental Health Counselor Misty Aja Long 0132461 Alcohol and Drug Counselor Stephanie A. Long 1571 Licensed Mental Health Counselor Vonda O. Long 1573 Clinical Mental Health Counselor (LPCC) Gary D. Longanecker 1572 Clinical Mental Health Counselor (LPCC) Pamela Kate Longfellow 0147421 Clinical Mental Health Counselor (LPCC) Tracy A. Longwill 0089081 Licensed Mental Health Counselor Arron G. Lopez 0131081 Alcohol and Drug Counselor Benjamin T Lopez 0140441 Licensed Mental Health Counselor Charmaine D. Lopez Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 603 Turtle Bend Killeen TX 76542 Bell Active 01/31/1997 09/30/2013 99 Monte Alto Road Santa Fe NM 87508 Santa Fe Active 06/30/1995 09/30/2014 1301 S. Adams Ave Roswell NM 88203 Chaves Active 07/31/2000 09/30/2014 555 E. Zia Street Aztec NM 87410 San Juan Active 07/31/2003 09/30/2014 555 E. Zia Street Aztec NM 87410 San Juan Active 01/31/2002 09/30/2013 1825 Christine NE Albuquerque NM 87112 Bernalillo Active 03/22/2012 09/30/2013 1825 Christine NE Albuquerque NM 87112 Bernalillo Active 01/06/2012 09/30/2013 751a Maple Hills Drive Maplewood MN 55117 Ramsey Active 06/01/2010 09/30/2013 916 Vassar NE Albuquerque NM 87106 Bernalillo Active 07/31/1994 09/30/2013 8523 E. 82nd St. Tulsa OK 74133 Tulsa Active 04/30/1995 09/30/2013 1200 Nakomis Dr NE Unit D Albuquerque NM 87112 11220 Jordan Ave. NE Albuquerque NM 87122 Bernalillo Active 09/30/1994 09/30/2014 Bernalillo Active 02/27/2012 09/30/2013 P.O. Box 1661 Taos NM 87571 Taos Active 01/06/2006 09/01/2007 1025 Maple St Las Cruces NM 88001 Dona Ana Active 04/07/2010 09/30/2013 601 Lovejoy Ln. SW Albuquerque NM 87105 Bernalillo Active 05/27/2011 09/30/2014 Page 177 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0156221 Daniel Lopez 0944 Licensed Mental Health Counselor Diana Lopez 0146501 Clinical Mental Health Counselor (LPCC) Herlinda C. Lopez 0152981 Temporary License Herlinda C. Lopez 0064231 Temporary License Jose J. Lopez 0890 Substance Abuse Associate Julie S. Lopez 0146841 Clinical Mental Health Counselor (LPCC) Lisa P. Lopez 0152071 Temporary License Lisa P. Lopez 0152101 Temporary License Martine Teresa Lopez 0134111 Clinical Mental Health Counselor (LPCC) Patty Lopez 0123611 Licensed Mental Health Counselor Sarah Marie Lopez 3323 Licensed Mental Health Counselor Sherry L. Lopez 0094281 Professional Mental Health Counselor Suzanne Marie Lopez 0145041 Marriage and Family Therapist Terry Yeager Lopez 0087551 Clinical Mental Health Counselor (LPCC) Lorraine Freedle/TeamBuilders CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 1170 Anthony NM 88021 Dona Ana Active 01/15/2013 09/30/2014 905 J Country Club Drive SE Rio Rancho NM 87124 Sandoval Active 07/31/1994 09/30/2014 13189 Lopez Road El Paso TX 79938 El Paso Null and Void 01/19/2012 08/31/2012 13189 Lopez Road El Paso TX 79938 El Paso Active 08/30/2012 03/31/2013 Box 63415 Espanola NM 87532 Rio Arriba Active 07/31/2002 09/30/2013 402 S Mesquite Carlsbad NM 88220 Eddy Active 09/30/1994 09/30/2014 5801 Eubank Blvd. NE #27 Albuquerque NM 87111 Bernalillo Null and Void 01/30/2012 08/31/2012 5801 Eubank Blvd. NE #27 Albuquerque NM 87111 Bernalillo Active 08/14/2012 03/31/2013 2549 Twin Buttes Dr. NE Rio Rancho NM 87144 Sandoval Active 08/14/2012 09/30/2013 P.O. Box 45 Bluewater NM 87005 Cibola Active 08/06/2010 09/30/2013 1750 Gallinas NE Rio Rancho NM 87144 Sandoval Active 06/11/2009 09/30/2013 8-A Cresencio Lane Santa Fe NM 87506 Santa Fe Active 05/31/1998 09/30/2013 9100 Luna de Oro Rd. NE Albuquerque NM 87111 Bernalillo Active 07/12/2006 09/30/2013 P.O. Box 2726 Mesilla Park NM 88047 Dona Ana Active 11/21/2011 09/30/2013 2504 Camino Entrada Santa Fe NM 87507 Santa Fe Active 10/26/2005 09/30/2013 Page 178 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0118711 Robert J. Louis, II 0072141 Clinical Mental Health Counselor (LPCC) Louisa Putnam 0155481 CEU Provider Certificate Louise la Plante 0121771 CEU Provider Certificate Anhara Chase Lovato 0152531 Licensed Mental Health Counselor Allison Love 0152851 Licensed Mental Health Counselor Marissa R. Love 0125121 Temporary License Suzanne Lovelace 0068292 Clinical Mental Health Counselor (LPCC) Kenneth W. Lovelett 1575 Clinical Mental Health Counselor (LPCC) Lawrence J. Lovell 0128551 Professional Mental Health Counselor Mary H. Lowe 1576 Marriage and Family Therapist Stacy D. Lowe 0249 Clinical Mental Health Counselor (LPCC) Kathryn Lowell 0446 Clinical Mental Health Counselor (LPCC) Ruth A. Lowery-Ross 0134071 Clinical Mental Health Counselor (LPCC) Sergio A. Loya 0149671 Licensed Mental Health Counselor Sergio A. Loya Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 503 Burke Dr. Gallup NM 87301 McKinley Active 12/04/2008 09/30/2014 30 A Old Arroyo Chamiso Santa Fe NM 87505 Santa Fe Expired 04/01/2004 09/30/2009 501 1/2 Moreno St. Las Vegas NM 87701 San Miguel Active 12/07/2012 09/30/2013 P.O. Box 114 Tesuque NM 87574 Santa Fe Active 03/18/2009 09/30/2013 39 Camerada Road Santa Fe NM 87508 Santa Fe Active 08/21/2012 09/30/2013 1846 Stanton Ave. Las Cruces NM 88001 Dona Ana Active 08/29/2012 03/31/2013 26 Eototo Road El Prado NM 87529 Taos Active 08/04/2009 09/30/2013 11704 Terra Bella Lane SE Albuquerque NM 87123 Bernalillo Active 10/31/2003 09/30/2014 P.O. Box 44084 Rio Rancho NM 87124 Sandoval Expired 01/31/1995 09/30/2003 P.O. Box 991 2449 45th street Los Alamos NM 87544 3 Sedillo Loop Tijeras NM 87059 Los Alamos Active 01/06/2010 09/30/2013 Bernalillo Active 07/31/1994 09/30/2014 12712 Sunset Ridge Pl NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2013 3 Darby Drive Sandia Park NM 87047 Bernalillo Active 06/30/1994 09/30/2014 200 Desert Pass #817 El Paso TX 79912 El Paso Active 08/05/2010 09/30/2013 200 Desert Pass #817 El Paso TX 79912 El Paso Null and Void 05/01/2012 12/31/2012 Page 179 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154721 Sergio A. Loya 0151511 Temporary License Jazmine Loza 3653 Temporary License Margaret A. Lucas 0447 Alcohol and Drug Counselor Sabine Lucas 1840 Professional Mental Health Counselor Pauline A. Lucero Esquivel 1428 Clinical Mental Health Counselor (LPCC) Mary F. Lucero-Hilliard 0133611 Clinical Mental Health Counselor (LPCC) Anna M Lucero 005796 Alcohol and Drug Counselor Donna Marie Lucero 0122861 Clinical Mental Health Counselor (LPCC) Krystal R. Lucero 0133771 Alcohol and Drug Counselor Michael Alexander Lucero 0125011 Licensed Mental Health Counselor Michael Alexander Lucero 0149531 Alcohol and Drug Counselor Michaele E. Luisi 3573 Temporary License Maryanne P. Luiz 0127451 Alcohol and Drug Counselor Alfredo Hector Lujan 0130781 Clinical Mental Health Counselor (LPCC) Antonia Lujan Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 200 Desert Pass #817 El Paso TX 79912 El Paso Active 11/09/2012 06/30/2013 4160 Broadview Rd. Las Cruces NM 88005 Dona Ana Active 07/13/2012 03/31/2013 5005 Kim Road NE Rio Rancho NM 87144 Sandoval Active 06/30/1997 09/30/2013 408 Salazar Place Santa Fe NM 87501 Santa Fe Active 06/30/1994 09/30/2013 1401 Avenida Manana NE Albuquerque NM 87110 Bernalillo Active 09/30/1994 09/30/2014 10008 Lexington NE Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2014 PO Box 129 Santa Rosa NM 88435 Guadalupe Active 07/19/2010 09/30/2013 4327 Cliff Base NW Albuquerque NM 87120 Bernalillo Active 03/31/2001 09/30/2014 P.O. Box 328 Isleta NM 87022 Bernalillo Active 05/13/2009 09/30/2013 4521 Derby St. NW Albuquerque NM 87114 Bernalillo Active 07/26/2010 09/30/2013 4521 Derby St. NW Albuquerque NM 87114 Bernalillo Active 07/30/2009 09/30/2013 PO Box 129 Monticello NM 87939 Sierra Active 04/26/2012 03/31/2013 4905 Thunderbird Lane Roswell NM 88203 Chaves Active 01/31/1997 09/30/2013 10004 Cerro Largo Pl NW Albuquerque NM 87114 Bernalillo Active 11/09/2009 09/30/2013 P.O. Box 1656 Taos NM 87571 Taos Active 03/29/2010 09/30/2013 Page 180 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0102361 Katrina M Lujan 3831 Clinical Mental Health Counselor (LPCC) Frank P. Lukasavage 0071481 Alcohol and Drug Counselor Luna Community College/Elaine Luna 0134421 CEU Provider Certificate Susan J. Luna-Sanchez 0087401 Licensed Mental Health Counselor Carolyn F. Luna 0147441 Clinical Mental Health Counselor (LPCC) Laura Luna 3786 Licensed Mental Health Counselor Phyllis Luna 0081111 Alcohol and Drug Counselor Stefanie A. Luna 0095981 Marriage and Family Therapist Shannon L. Lunsford 0064501 Clinical Mental Health Counselor (LPCC) Donna Faye Lupee 0130531 Alcohol and Drug Counselor Angela M. Lutes 0150521 Licensed Mental Health Counselor Debra G. Lux 0101071 Alcohol and Drug Counselor Karen Ann Lyall 0098761 Licensed Mental Health Counselor Lydia S. Lennihan, LPCC 0065432 CEU Provider Certificate Edward L. Lyell Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 17661 US 84/285 Santa Fe NM 87506 Santa Fe Active 03/28/2007 09/30/2014 P.O. 99 Stanley NM 87056 Santa Fe Active 03/31/1997 09/30/2013 366 Luna Drive Las Vegas NM 87701 San Miguel Active 03/31/2003 09/30/2013 P.O. Box 11364 Albuquerque NM 87192 Bernalillo Active 08/20/2010 09/30/2013 P.O. Box 4939 Santa Fe NM 87502 Santa Fe Active 10/21/2005 09/30/2014 1130 Steins Dr. Las Cruces NM 88012 Dona Ana Active 02/27/2012 09/30/2013 1902 Bindel Street Carlsbad NM 88220 Eddy Active 01/31/1997 09/30/2014 3320 Wilway Ave. NE Albuquerque NM 87106 Bernalillo Active 04/19/2005 09/30/2014 601 San Mateo w. #53 #53 Santa Fe NM 87505 P.O. Box 86 Zuni NM 87327 Santa Fe Active 08/29/2006 09/30/2013 McKinley Active 10/31/2002 09/30/2013 6624 E. Calle Cavalier Tucson AZ 85715 Pima Active 03/18/2010 09/30/2013 210 La Veta Ave. Encinitas CA 92024 San Diego Active 06/07/2012 09/30/2013 1616 Escalante SW Albuquerque NM 87104 Bernalillo Active 02/16/2007 09/30/2014 1400 Carlisle Blvd. NE Suite A Albuquerque NM 87110 1304 Kirby NE Albuquerque NM 87112 Bernalillo Active 12/01/2006 09/30/2013 Bernalillo Active 01/31/2003 09/30/2014 Page 181 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145561 Edward L. Lyell 0152651 Temporary License Danny C. Lyle Jr. 0145861 Temporary License Lynette Curley-Roam 0156061 CEU Provider Certificate Michelle Lynn 0089671 Licensed Mental Health Counselor Debra Lynne 0841 Professional Mental Health Counselor Diana Lyon 0124381 Professional Mental Health Counselor Linda R Lytle 1637 Clinical Mental Health Counselor (LPCC) Moriah Mac Cleod 0106291 Clinical Mental Health Counselor (LPCC) Linda L. Mac Quigg 0149971 Clinical Mental Health Counselor (LPCC) Micah M. MacDonald 0131951 Licensed Mental Health Counselor Robert Anthony Mace-Serratore 0131041 Temporary License Marilyn Blyth MacGregor 0156101 Clinical Mental Health Counselor (LPCC) Elizabeth Macias 0141821 Substance Abuse Associate Connie Ann Mack 0086461 Temporary License Jonathan Trimble Mack Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1304 Kirby NE Albuquerque NM 87112 Bernalillo Active 12/14/2011 07/31/2012 PO Box 1567 Eunice NM 88231 Lea Active 08/23/2012 03/31/2013 4813 Goodrich Ave. NE Albuquerque NM 87110-1169 Bernalillo Active 12/28/2011 09/30/2013 2937 Camino Del Bosque Santa Fe NM 87507 Santa Fe Active 01/08/2013 09/30/2014 30635 Baker Lane Corvallis OR 97333 Benton Expired 02/02/2006 09/30/2009 915 Grape Street T OR C NM 87901 Sierra Expired 07/31/1994 09/30/2009 430 Berumda Dr. SE Rio Rancho NM 87124 Sandoval Active 07/13/2009 09/30/2013 2900 Louisiana NE S Bldg. Suite200D Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2013 2323 Casa Rufina Road, Apt. 705 Santa Fe NM 87507 Santa Fe Active 08/06/2007 09/30/2014 1124 6th St. Apt. #2 Las Vegas NM 87701 San Miguel Active 05/17/2012 09/30/2013 10801Maness Ln. SW Albuquerque NM 87121 Bernalillo Null and Void 05/11/2010 11/30/2010 1050 W. Langstroth Dr. Silver City NM 88061 Grant Active 04/05/2010 09/30/2013 2902 Princeton Dr. Roswell NM 88203 Chaves Active 01/09/2013 09/30/2014 1843 8th Street Las Vegas NM 87701 San Miguel Active 07/21/2011 02/28/2012 7109 Prospect Place NE Albuquerque NM 87110 Bernalillo Active 09/19/2005 09/30/2014 Page 182 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0131541 Stephen C. Mack 0104321 Alcohol and Drug Counselor Jessie J. Mackenzie-Rosenberg 0127951 Marriage and Family Therapist Joyce L MacKinstry 0528 Marriage and Family Therapist Ruth S. Macnofsky 0087441 Marriage and Family Therapist Courtney Elease Macon-Arnold 0578 Professional Mental Health Counselor Karen C. Macy 2819 Clinical Mental Health Counselor (LPCC) James B. Mader 0136081 Professional Mental Health Counselor Judy Lynne Madewell 0151551 Clinical Mental Health Counselor (LPCC) Jessica M. Madrid 0105251 Licensed Mental Health Counselor Julie A. Madrid 0132101 Clinical Mental Health Counselor (LPCC) Melynda Denice Madrid 0069022 Clinical Mental Health Counselor (LPCC) Nancy Madrid 0102971 Clinical Mental Health Counselor (LPCC) Racheal A. Madrid 0227 Clinical Mental Health Counselor (LPCC) Silvia Madrid 3538 Clinical Mental Health Counselor (LPCC) Silvia Madrid Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 560 Este ES Road Taos NM 87571 Taos Active 04/21/2010 09/30/2013 506 Sands Court Gallup NM 87301 McKinley Active 06/05/2007 09/30/2014 2 Darby Dr. Sandia Park NM 87047 Bernalillo Active 12/04/2009 09/30/2013 6 Las Huertas Road Placitas NM 87043 Sandoval Active 08/30/1994 09/30/2014 12756 Westhampton Circle Wellington FL 33414 Palm Beach Active 10/25/2005 09/30/2014 P.O. Box 26124 Albuquerque NM 87125 Bernalillo Active 09/30/1994 09/30/2014 6236 Apache Plume Rio Rancho NM 87144 Sandoval Active 08/30/1994 09/30/2014 1014 Georgia Street NE Albuquerque NM 87110 Bernalillo Active 11/05/2010 09/30/2014 7300 Villa Rosado NE Albuquerque NM 87113 Bernalillo Active 07/16/2012 09/30/2013 2818 Vereda Poniente Santa Fe NM 87507 Santa Fe Active 07/06/2007 09/30/2014 10408 Calle Alma NW Albuquerque NM 87114 Bernalillo Active 05/17/2010 09/30/2013 10701 Prospect Ave NE Albuquerque NM 87112 Bernalillo Active 12/31/2003 09/30/2014 100 Fire Station Rd. Los Lunas NM 87031 Valencia Active 04/18/2007 09/30/2014 1907 N. Main Silver City NM 88061 Grant Active 05/31/1994 09/30/2013 1907 N. Main Silver City NM 88061 Grant Active 01/31/1997 09/30/2014 Page 183 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2581 Frances I. Madrigal 1995 Clinical Mental Health Counselor (LPCC) Solveig V. Maerki 2292 Clinical Mental Health Counselor (LPCC) Glynnis P. Maes 3621 Clinical Mental Health Counselor (LPCC) Jennie E. Maes 0128971 Alcohol and Drug Counselor David William Maestas 1998 Alcohol and Drug Counselor Michael G. Maestas 0112171 Clinical Mental Health Counselor (LPCC) Rose Marie Maestas 0143471 Substance Abuse Associate Leonor Magana 0141431 Temporary License Joellyn P. Magoosh 0104551 Substance Abuse Associate Kimberly Mahnke 0110741 Licensed Mental Health Counselor Amy Howell Mahoney 0106241 Licensed Mental Health Counselor Douglas Martin Main 0149701 Licensed Mental Health Counselor Douglas Martin Main 0069 Temporary License Kevin A. Mains 0150651 Clinical Mental Health Counselor (LPCC) Sepideh C. Majd Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1828 Kentucky Street NE Albuquerque NM 87110 Bernalillo Active 12/31/1995 09/30/2013 3900 Simms SE Albuquerque NM 87108 Bernalillo Active 09/30/1994 09/30/2013 2209 Miller Street Clovis NM 88101 Curry Active 07/31/1994 09/30/2014 P.O. Box 301 Mora NM 87732 Mora Retired 09/30/1997 09/30/2009 713 McKnight NW Albuquerque NM 87102 Bernalillo Active 01/22/2010 09/30/2013 3137 Pueblo Hawikuh Santa Fe NM 87507 Santa Fe Active 09/30/1994 09/30/2014 P.O. Box 634 Ranchos de Taos NM 87557 Taos Active 03/24/2008 09/30/2014 200 N. Mesa Hills # 107 El Paso TX 79912 El Paso Active 09/22/2011 04/30/2012 P.O. Box 87 Mescalero NM 88340 Otero Active 07/11/2011 09/30/2014 6637 Nagoya Rd NW Rio Rancho NM 87144 Sandoval Retired 06/15/2007 09/30/2008 412 Ibis Lane Lake Wylie SC 29710 York Active 01/28/2008 09/30/2013 535 Vegas Drive Las Vegas NM 87701 San Miguel Active 08/06/2007 09/30/2014 535 Vegas Drive Las Vegas NM 87701 San Miguel Active 05/01/2012 07/31/2013 3900 Juan Tabo NE Suite 16 Albuquerque NM 87111 Bernalillo Active 04/30/1994 09/30/2013 1878 Calle Quedo #4 Santa Fe NM 87505 Santa Fe Active 06/12/2012 09/30/2013 Page 184 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0133711 Courtney Savannah Major 1232 Marriage and Family Therapist Johanna K. Major 0135761 Clinical Mental Health Counselor (LPCC) Rebecca Irene Majors 0129861 Clinical Mental Health Counselor (LPCC) Chandra S. Majumdar 2584 Alcohol and Drug Counselor Karen Makarem 1841 Licensed Mental Health Counselor Cathy A. Malchiodi 1842 Art Therapist Cathy A. Malchiodi 0149511 Clinical Mental Health Counselor (LPCC) Sonia Maldonado 0096621 Temporary License Marjorie Malone 241 Clinical Mental Health Counselor (LPCC) Susan Malone 3757 Clinical Mental Health Counselor (LPCC) Ronald J. Malott 0110621 Alcohol and Drug Counselor Nancy E. Mance 0126051 Clinical Mental Health Counselor (LPCC) Yvonne M. Mandagaran 1302 Clinical Mental Health Counselor (LPCC) Fredda E. Mangel 0140001 Clinical Mental Health Counselor (LPCC) Craig W. Mankin Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 45 Olguin Road Jarales NM 87023 Valencia Active 07/22/2010 09/30/2013 1805 Indian Plaza Dr. NE Albuquerque NM 87106 Bernalillo Active 07/31/1994 09/30/2014 2141 Woodfin Dr. El Paso TX 79925 El Paso Active 10/25/2010 09/30/2014 1310 North Drive Socorro NM 87801 Socorro Active 02/19/2010 09/30/2013 1500 South Avenue K. ENMU #2864 Portales NM 88130 Roosevelt Active 01/31/1995 09/30/2014 2317 Saratoga Drive Louisville KY 40205 Jefferson Active 07/31/1994 09/30/2013 2317 Saratoga Avenue Louisville KY 40205-2020 Jefferson Active 09/30/1994 09/30/2014 9816 Goby El Paso TX 79924 El Paso Active 04/26/2012 03/31/2013 P.O. Box 2070 Taos NM 87571 Taos Active 09/15/2006 09/30/2013 1233 Don Francisco Place NW Albuquerque NM 87107 Bernalillo Active 04/30/1997 09/30/2013 55 Dillon Creek Rd. Raton NM 87740 Colfax Active 03/31/1997 09/30/2013 13417 Auburn NE Albuquerque NM 87112 Bernalillo Active 01/25/2008 09/30/2013 P.O. Box 244 Grants NM 87020 Cibola Active 09/16/2009 09/30/2013 1859 Creek Road North Clarendon VT 05759 Rutland Retired 12/31/1998 09/30/2009 9952 Edgewood Lane, #C Cincinnati OH 45241 Hamilton Active 05/13/2011 09/30/2014 Page 185 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0139991 Craig W. Mankin 0170 Alcohol and Drug Counselor Douglas S. Mann 0125921 Marriage and Family Therapist Cynthia Power Manning 0146191 Licensed Mental Health Counselor Cynthia Power Manning 0151261 Temporary License Cynthia Power Manning 0155241 Temporary License Leah Mariah Manning 0133721 Temporary License Michelle L. Manning 0101581 Clinical Mental Health Counselor (LPCC) Jean Madeleine Manz 005707 Marriage and Family Therapist Chris S. Manzanares 1303 Alcohol and Drug Counselor Gregory A. Mapes 0082661 Clinical Mental Health Counselor (LPCC) Connie J. Maple 4617 Licensed Mental Health Counselor Mary M. Maple 0089231 Clinical Mental Health Counselor (LPCC) Shannon B. Marabella 0154881 Alcohol and Drug Counselor Kristina M. March 1035 Licensed Mental Health Counselor Gilles R. Marchal Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9952 Edgewood Lane, #C Cincinnati OH 45241 Hamilton Active 05/13/2011 09/30/2014 418 Main Walsenburg CO 81089 Huerfano Expired 06/30/1994 09/30/2008 34 Juniper Ave Los Lunas NM 87031 Valencia Active 09/14/2009 09/30/2013 34 Juniper Ave Los Lunas NM 87031 Valencia Null and Void 01/12/2012 08/31/2012 34 Juniper Ave Los Lunas NM 87031 Valencia Active 07/03/2012 02/28/2013 PO Box 24038 Santa Fe NM 87502 Santa Fe Active 11/29/2012 06/30/2013 787 Tramway Place NE #C #C Albuquerque NM 87122 4773 Sunrise Circle Farmington NM 87401 Bernalillo Active 07/22/2010 09/30/2013 San Juan Active 03/02/2007 09/30/2014 412 Rita Las Vegas NM 87701 San Miguel Active 01/31/2001 09/30/2013 546 Harkle Road, Suite C Santa Fe NM 87505 Santa Fe Retired 07/31/1994 09/30/2009 2339 Mountain Rd NW Albuquerque NM 87104 Bernalillo Active 06/13/2005 09/30/2014 P.O. Box 1085 Antlers OK 74523 Pushmataha Active 06/30/1999 09/30/2013 999 Lora Lee Dr. Marysville OH 43040 Union Active 01/17/2006 09/30/2014 6596 Sahchu Lane Cochiti Lake NM 87083 Sandoval Active 11/16/2012 09/30/2014 2128 Manchester PL NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2013 Page 186 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0809 Meryl D. Marchand 0101421 Marriage and Family Therapist Marcia Pacheco 1036 CEU Provider Certificate Paul A. Marcus 0086591 Marriage and Family Therapist Cathy M. Mares 0128311 Alcohol and Drug Counselor Eric Thomas Mares 0077401 Substance Abuse Associate Margaret Garberina 0118121 CEU Provider Certificate Maria Emilia O'Neill Baker 0135231 CEU Provider Certificate Maria Laquerre 0090341 CEU Provider Certificate Phoebe G. Maria 0131901 Substance Abuse Associate Louise Mariano 0120031 Alcohol and Drug Counselor Shane Marinson 0106991 Clinical Mental Health Counselor (LPCC) Marjorie Malone 0148601 CEU Provider Certificate Mark Munro 0075181 CEU Provider Certificate MaryAnn E. Marlar 0148711 Marriage and Family Therapist Esperanza Duran Marquez Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 330 Sena Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 11201 Elvin NE Albuquerque NM 87112 Bernalillo Expired 02/28/2007 09/30/2009 11327 Paseo Del Oso NE Albuquerque NM 87111 Bernalillo Active 04/30/1995 09/30/2014 610 E. 30th Street #35 Farmington NM 87401 San Juan Active 09/23/2005 09/30/2014 P.O. Box 3132 Ranchos de Taos NM 87557 Taos Active 12/23/2009 09/30/2013 4031 Mackland NE Albuquerque NM 87110 Bernalillo Active 10/03/2002 09/30/2013 2027 Crescent Dr. Las Cruces NM 88005 Dona Ana Active 11/06/2008 09/30/2013 3157 Del Rey BLVD. Las Cruces NM 88012 Dona Ana Active 09/30/2010 09/30/2013 P.O. Box 653 Ramah NM 87321 McKinley Active 02/21/2006 09/30/2013 P.O. Box 4123 Gallup NM 87305 McKinley Active 05/10/2010 09/30/2013 P.O. Box 1943 El Prado NM 87529 Taos Active 01/28/2009 09/30/2013 P.O. Box 2070 Taos NM 87571 Taos Expired 08/28/2007 09/30/2009 801 W. Sayers Hobbs NM 88240 Lea Active 03/30/2012 09/30/2013 Box 4035 Silver City NM 88062 Grant Retired 08/17/2004 09/30/2009 7000 Louisiana Blvd. NE #809 Albuquerque NM 87109 Bernalillo Active 03/30/2012 09/30/2013 Page 187 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0151841 Naomi E. Marquez 0655 Substance Abuse Associate Louella M. Marr-Montoya 0145831 Professional Mental Health Counselor Laura M. Marrero 0127731 Licensed Mental Health Counselor Judith (Judy) Magdalena Arellano Marrufo 0088171 Licensed Mental Health Counselor Sadie D. Marrufo 3402 Clinical Mental Health Counselor (LPCC) Steve W. Marsh 1844 Licensed Mental Health Counselor Pamela A. Marshall 3031 Clinical Mental Health Counselor (LPCC) Pamela A. Marston Upadhyaya 0147 Licensed Mental Health Counselor Stephanie Marston 0129921 Marriage and Family Therapist Carol K. Martell 0149131 Licensed Mental Health Counselor Ashley N. Martin-Cuellar 0071841 Licensed Mental Health Counselor James D. Martin 4621 Clinical Mental Health Counselor (LPCC) Jeanne Louise Martin 0126881 Alcohol and Drug Counselor Lisa Gaye Martin 0143591 Licensed Mental Health Counselor Lisa Gaye Martin Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 45982 Rio Rancho NM 87174 Sandoval Active 08/01/2012 09/30/2013 786 Dora Celestse Dr. Las Vegas NM 87701 San Miguel Active 06/30/1994 09/30/2013 7920 Palomar Ct. NE Albuquerque NM 87109 Bernalillo Active 12/23/2011 09/30/2013 813 W. Kelly St. Silver City NM 88061 Grant Active 11/25/2009 09/30/2013 216 Tohatchi Trail NW Albuquerque NM 87104 Bernalillo Active 12/08/2005 09/30/2014 P.O. Box 1836 Ranchos de Taos NM 87557 Taos Active 11/30/1996 09/30/2014 PO Box 374 Pecos NM 87552 San Miguel Active 11/30/1994 09/30/2014 P.O. Box 1708 Ranchos de Taos NM 87557 Taos Active 09/30/1995 09/30/2013 134 East Santa Fe Avenue Santa Fe NM 87501 Santa Fe Retired 10/31/1994 09/30/2009 1210 Placita Loma Santa Fe NM 87501 Santa Fe Active 02/22/2010 09/30/2013 2301 Academic Pl. SE Albuquerque NM 87106 Bernalillo Active 04/16/2012 09/30/2013 112 Brentwood Drive Alto NM 88312 Lincoln Active 02/29/2004 09/30/2013 P.O. Box 711 Silver City NM 88062 Grant Expired 01/31/2000 09/30/2009 117 Los Miradores Dr. NE Rio Rancho NM 87124 Sandoval Active 10/21/2009 09/30/2013 117 Los Miradores Dr. NE Rio Rancho NM 87124 Sandoval Active 09/29/2011 09/30/2013 Page 188 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0091681 Marcia Marie Martin 0151881 Clinical Mental Health Counselor (LPCC) Mary Ellen Martin 0153541 Licensed Mental Health Counselor Mary Ellen Martin 0145391 Marriage and Family Therapist Ronald N Martin 4044 Clinical Mental Health Counselor (LPCC) William H. Martin 2140 Alcohol and Drug Counselor Bridget K. Martinez-Blowers 0154941 Clinical Mental Health Counselor (LPCC) Erika N. Martinez-Gonzales 0684 Licensed Mental Health Counselor Lucille A. Martinez-Holguin 0946 Professional Mental Health Counselor Joan M. Martinez-Maguire 1587 Clinical Mental Health Counselor (LPCC) Carmen Martinez-Tittmann 0109001 Clinical Mental Health Counselor (LPCC) Andrea M. Martinez 0099051 Alcohol and Drug Counselor Anita Martinez 006129 Licensed Mental Health Counselor Arnold A. Martinez 3643 Licensed Mental Health Counselor Carol R. Martinez 0140161 Alcohol and Drug Counselor Christina Renee Martinez Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8 Hartwood Road Ithaca NY 14850 Tompkins Active 03/29/2006 09/30/2013 1737 Singletary Dr. NE Albuquerque NM 87112 Bernalillo Active 08/06/2012 09/30/2013 1737 Singletary Dr. NE Albuquerque NM 87112 Bernalillo Active 09/19/2012 09/30/2013 7680 Medano El Paso TX 79912 El Paso Active 12/07/2011 09/30/2013 P.O. Box 357 Blanco NM 87412 San Juan Retired 04/30/1997 09/30/2012 P.O. Box 3043 Albuquerque NM 87190-3043 Bernalillo Active 11/30/1994 09/30/2014 01 Sandia Road Los Lunas NM 87031 Valencia Active 11/20/2012 09/30/2014 P.O. Box 12 Chimayo NM 87522 Rio Arriba Active 06/30/1994 09/30/2014 6404 Brenton NW Albuquerque NM 87120 Bernalillo Active 05/31/1998 09/30/2014 5567 Corrales Rd . Corrales NM 87048 Sandoval Active 09/30/1994 09/30/2013 3214 La Paz Lane Santa Fe NM 87504 Santa Fe Expired 11/09/2007 09/30/2009 462 Coorthouse Road Los Lunas NM 87031 Valencia Active 12/14/2006 09/30/2013 1112 Gidding Clovis NM 88101 Curry Active 08/31/2003 09/30/2014 P.O. Box 774 Santa Cruz NM 87567 Santa Fe Active 02/28/1997 09/30/2013 12008 Calle Zagal, NE Albuquerque NM 87111 Bernalillo Active 05/19/2011 09/30/2014 Page 189 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153301 Christine Martinez 0135681 Substance Abuse Associate Cindy F. Martinez 0138381 Alcohol and Drug Counselor Corene R. Martinez 0991 Substance Abuse Associate Dan R. Martinez 0073441 Clinical Mental Health Counselor (LPCC) Deborah L. Martinez 3771 Licensed Mental Health Counselor Diana L. Martinez 0125111 Alcohol and Drug Counselor Doetta Martinez 0134211 Alcohol and Drug Counselor Doetta Martinez 0138751 Temporary License Gloria J Martinez 0108821 Licensed Mental Health Counselor Guadalupe Rosa Martinez 0149441 Substance Abuse Associate Janice Kaye Martinez 4779 Substance Abuse Associate Jeanne Elizabeth Martinez 0156111 Alcohol and Drug Counselor Jessica C. Martinez 0144751 Licensed Mental Health Counselor Joshua S. Martinez 1845 Substance Abuse Associate Leticia Martinez Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2634 Quincy Street NE Albuquerque NM 87110 Bernalillo Active 09/11/2012 09/30/2013 P.O. Box 514 Espanola NM 87532 Rio Arriba Active 10/22/2010 09/30/2014 P.O. Box 1404 Dulce NM 87528 Rio Arriba Active 03/02/2011 09/30/2014 837-2D Country Club Drive SE Rio Rancho NM 87124 Sandoval Active 11/30/1995 09/30/2013 11407 Del Rey Ave. NE Albuquerque NM 87122 Bernalillo Active 05/19/2004 09/30/2013 P.O. Box 4 El Prado NM 87529 Taos Active 03/31/1997 09/30/2013 P. O. Box 27422 Albuquerque NM 87125 Bernalillo Active 08/03/2009 09/30/2013 P. O. Box 27422 Albuquerque NM 87125 Bernalillo Null and Void 08/11/2010 03/30/2011 5409 Thomas Dr. NE Albuquerque NM 87111 Bernalillo Active 03/21/2011 09/30/2014 309 Crestmont El Paso TX 79912 El Paso Active 11/01/2007 09/30/2014 PO Box 1233 Kirtland NM 87417 San Juan Active 04/23/2012 09/30/2014 319 West Houghton Santa Fe NM 87501 Santa Fe Active 06/30/1999 09/30/2013 39 Roadrunner Dr. Las Vegas NM 87701 San Miguel Active 01/09/2013 09/30/2014 PO Box 614 Chimayo NM 87522 Rio Arriba Active 11/07/2011 09/30/2013 7000 Grange Avenue NW Albuquerque NM 87120 Bernalillo Expired 11/30/1994 09/30/2003 Page 190 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005420 Lonnie Martinez 0122031 Substance Abuse Associate LuAnn Martinez 0148751 Substance Abuse Associate Mary L Martinez 0580 Temporary License Michael C. Martinez 0154201 Professional Mental Health Counselor Monica M. Martinez 0144561 Temporary License Monique E. Martinez 0155171 Temporary License Nissa Martinez 0033 Clinical Mental Health Counselor (LPCC) P. Robert Lee Martinez 0115871 Clinical Mental Health Counselor (LPCC) Paul Gonzalo Martinez, Jr. 0114181 Alcohol and Drug Counselor Pauline Martinez 0133151 Temporary License Pauline Martinez 0155081 Substance Abuse Associate Rebekah M. Martinez 005556 Clinical Mental Health Counselor (LPCC) Rosella Dolores Martinez 0138551 Substance Abuse Associate Sara B. Martinez 005695 Licensed Mental Health Counselor Shelley Darlene Martinez Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7509 Via Serenita SW Albuquerque NM 87121 Bernalillo Active 12/31/2000 09/30/2014 1143 Jaramillo Ct. Los Lunas NM 87031 Valencia Active 03/30/2009 09/30/2013 502 Valley Street Las Vegas NM 87701 San Miguel Active 04/03/2012 11/30/2012 P.O. Box 6000 Roswell NM 88202-6000 Chaves Active 05/31/1994 09/30/2014 6300 Montgomery Apt. 304 Albuquerque NM 87109 Bernalillo Active 10/17/2012 12/17/2012 11609 Nambe NE Albuquerque NM 87123 Bernalillo Active 10/28/2011 05/31/2012 1039 Don Romero Dr SW Albuquerque NM 87105 Bernalillo Active 11/29/2012 09/30/2014 P.O. Box 578 Tesuque NM 87574 Santa Fe Active 04/30/1994 09/30/2013 #2 Camino Corto Lane Placitas NM 87043 Sandoval Active 08/01/2008 09/30/2014 211 53RD ST S.W. Albuquerque NM 87105 Bernalillo Active 06/03/2008 12/31/2008 211 53RD ST S.W. Albuquerque NM 87105 Bernalillo Active 06/24/2010 09/30/2013 2064 Bugatti Drive Las Cruces NM 88001 Dona Ana Active 11/27/2012 09/30/2014 P.O. Box 631 Chimayo NM 87522 Rio Arriba Active 11/30/2000 09/30/2014 P.O. Box 1994 Ranchos de Taos NM 87557 Taos Active 03/14/2011 09/30/2014 2200 Grande Blvd SE, Ste. B Rio Rancho NM 87124 Sandoval Active 09/30/2001 09/30/2013 Page 191 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0125671 Sommar M. Martinez 0137871 Substance Abuse Associate Thedra L. Martinez 3789 Alcohol and Drug Counselor Velma S. Martinez 0067032 Alcohol and Drug Counselor Virginia Ann Martinez 2275 Professional Mental Health Counselor Carol Arnold Martinson 3167 Clinical Mental Health Counselor (LPCC) Albert Lee Marts 0078751 Clinical Mental Health Counselor (LPCC) Susan Elizabeth Marts 0077081 Alcohol and Drug Counselor Mary Beth Huberman 0100741 CEU Provider Certificate Mitchell J. Marzec 0131141 Clinical Mental Health Counselor (LPCC) Denise Mascarenas 0105301 Alcohol and Drug Counselor James M. Masica 0277 Clinical Mental Health Counselor (LPCC) Karen L. Maslanik 0151411 Clinical Mental Health Counselor (LPCC) Elizabeth A. Mason 0149991 Temporary License Erin J Masse 0126711 Temporary License Stacy D. Massengill-Munro Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 105 Kathy Cr. Aztec NM 87410 San Juan Active 08/31/2009 09/30/2013 P.O. Box 72 Alcalde NM 87511 Rio Arriba Active 02/09/2011 09/30/2014 P.O. Box 738 San Juan Pueblo NM 87566 Rio Arriba Active 01/31/1997 09/30/2013 2520 Elfego Rd NW Albuquerque NM 87107 Bernalillo Active 07/31/2003 09/30/2014 325 Marguenrite Street Gallup NM 87301 McKinley Active 09/30/1994 09/30/2013 442 Garland Ashe Rd. Cullowhee NC 28723 Jackson Expired 05/31/1996 09/30/2009 7A Roy Crawford Ln. Santa Fe NM 87505 Santa Fe Active 01/20/2005 09/30/2014 821 B Ninita St. Santa Fe NM 87505 Santa Fe Active 10/31/2004 09/30/2013 1601 Lafayette Dr. NE Albuquerque NM 87106 Bernalillo Active 02/07/2007 09/30/2014 6935 Alyssa Court Farmington NM 87402 San Juan Active 04/08/2010 09/30/2013 3755 Manchester Dr NW Albuquerque NM 87107 Bernalillo Active 07/11/2007 09/30/2014 P.O. Box 1655 Cedar Crest NM 87008 Bernalillo Expired 07/31/1994 09/30/2003 2109 Mariyana Ave. Gallup NM 87301 McKinley Active 07/06/2012 02/28/2013 1303 Alabama St. Silver City NM 88061 Grant Active 05/17/2012 12/31/2012 801 W. Sayers Dr. Hobbs NM 88240 Lea Active 10/14/2009 09/30/2013 Page 192 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0071101 Ann Mastenbrook 005967 Clinical Mental Health Counselor (LPCC) Margaret M. Matteucci 0099781 Licensed Mental Health Counselor Katherine Patton Matthews 0155181 Licensed Mental Health Counselor Katrina L. Matthews 1100 Marriage and Family Therapist Naomi Mattis 3222 Marriage and Family Therapist Colleen Kay Mattson 0126111 Professional Mental Health Counselor Gregory John Mattus 0137241 Clinical Mental Health Counselor (LPCC) Carolyne B Maul 0086621 Licensed Mental Health Counselor Christopher D. Maurer 0156041 Professional Mental Health Counselor Christopher D. Maurer 0070821 Clinical Mental Health Counselor (LPCC) Lisa C. Maves 0144711 Professional Mental Health Counselor Lisa C. Maves 0154781 Temporary License Lisa C. Maves 0106041 Temporary License Christopher S. Maxwell 006022 Professional Mental Health Counselor Robert E. Maxwell Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 11930 Menaul NE, Suite 220-A Albuquerque NM 87112 Bernalillo Active 02/29/2004 09/30/2013 8500 Bellehaven Ave. NE Albuquerque NM 87112 Bernalillo Active 08/31/2001 09/30/2013 3775 Old Santa Fe Trail Santa Fe NM 87505 Santa Fe Active 01/09/2007 09/30/2014 1805 Arroro Chamiso Santa Fe NM 87505 Santa Fe Active 11/29/2012 09/30/2014 P.O. Box 582 Crestone CO 81131 Saguache Active 06/30/1994 09/30/2013 825 Springcrest Blvd. Jackson MI 49203 Jackson Retired 04/30/1997 09/30/2008 211 North Michigan Avenue Roswell NM 88201 Chaves Active 09/16/2009 09/30/2013 140 Verano Loop Santa Fe NM 87508 Santa Fe Active 01/07/2011 09/30/2014 1902 West Wind Road Las Cruces NM 88007 Dona Ana Active 09/23/2005 09/30/2014 1902 West Wind Road Las Cruces NM 88007 Dona Ana Active 01/07/2013 09/30/2014 5725 Quay NE Rio Rancho NM 87144 Sandoval Active 02/29/2004 09/30/2013 5725 Quay NE Rio Rancho NM 87144 Sandoval Null and Void 11/04/2011 06/30/2012 5725 Quay NE Rio Rancho NM 87144 Sandoval Active 11/14/2012 06/30/2013 10637 McMichael Lane SW Albuquerque NM 87121 Bernalillo Active 07/30/2007 09/30/2014 5016 La Bajada NW Albuquerque NM 87105 Bernalillo Retired 11/30/2001 09/30/2012 Page 193 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0107661 Sarah Ann Mayer-Swift 1986 Clinical Mental Health Counselor (LPCC) Phyllis A. Mayfield 0144471 Professional Mental Health Counselor Terry M Maynes 0113241 Clinical Mental Health Counselor (LPCC) Terry Marie Maynes 006065 Substance Abuse Associate Lidia I Maynez 0154171 Professional Mental Health Counselor Julie Ann Mayo 0118391 Alcohol and Drug Counselor Sharon Mayo 0123071 Licensed Mental Health Counselor Sharon Mayo 0154101 Substance Abuse Associate Craig T. McAdams 0152381 Temporary License Misty G. McArthur 0624 Substance Abuse Associate Pam T. McArthur 3507 Clinical Mental Health Counselor (LPCC) Pam T. McArthur 0096341 Drug Abuse Counselor Tanya McBride 0115041 Alcohol and Drug Counselor Tanya McBride 005995 Clinical Mental Health Counselor (LPCC) John J. McCafferty Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date HC69 Box 56C Rociada NM 87742 Mora Active 09/26/2007 09/30/2014 321 Cook Avenue Raton NM 87740 Colfax Active 02/28/1999 09/30/2014 120 Arenas Valley Rd Arenas Valley NM 88022 Grant Active 10/26/2011 09/30/2013 #120 Arenas Valley Rd. Arenas Valley NM 88022 Grant Active 04/30/2008 09/30/2014 6623-A Dawn Dr. El Paso TX 79912 El Paso Active 08/31/2001 09/30/2013 2602 Mossman Farmington NM 87401 San Juan Active 10/15/2012 09/30/2014 12612 Carmel Ct. NE Albuquerque NM 87122 Bernalillo Active 11/18/2008 09/30/2014 12612 Carmel Ct. NE Albuquerque NM 87122 Bernalillo Active 05/20/2009 09/30/2013 1429 Zepol Rd. Apt. 309 Santa Fe NM 87507 Santa Fe Active 10/15/2012 05/31/2013 PO Box 72 Alto NM 88312 Lincoln Active 08/17/2012 09/30/2013 PO Box 164 Lincoln NM 88338 Lincoln Active 06/30/1994 09/30/2014 PO Box 164 Lincoln NM 88338 Lincoln Retired 01/31/1997 09/30/2012 412 Cagua NE Albuquerque NM 87108 Bernalillo Active 09/08/2006 09/30/2013 412 Cagua NE Albuquerque NM 87108 Bernalillo Active 07/10/2008 09/30/2014 2612 Vermont St NE Albuquerque NM 87110-4640 Bernalillo Active 12/31/2001 09/30/2013 Page 194 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0065362 John J. McCafferty 0076281 Alcohol and Drug Counselor Susan L. McCamey 5024 Clinical Mental Health Counselor (LPCC) Maridawn McCarty Mears 0142721 Alcohol and Drug Counselor Jarmaine R. McChriston 2951 Substance Abuse Associate N. Susan McClees 0124171 Clinical Mental Health Counselor (LPCC) Kimberly T. McClintic 0118871 Clinical Mental Health Counselor (LPCC) Marguerite E. McClure 0139381 Clinical Mental Health Counselor (LPCC) Marguerite E. McClure 0131451 Alcohol and Drug Counselor Gary R McConnell 0069621 Alcohol and Drug Counselor Lucinda E. McConnell 1725 Professional Mental Health Counselor Judith W. McCoy 0416 Marriage and Family Therapist Patricia C. McCoy 0089031 Clinical Mental Health Counselor (LPCC) Patti S McCracken 0117721 Substance Abuse Associate Patti S McCracken 0107741 Alcohol and Drug Counselor Heather McCulloch Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2612 Vermont St NE Albuquerque NM 87110-4640 Bernalillo Active 01/31/2003 09/30/2013 518 Green Valley Rd. NW Albuquerque NM 87107 Bernalillo Active 09/28/2004 09/30/2013 P.O. Box 401 La Plata NM 87418 San Juan Active 01/31/2000 09/30/2014 6600 Towhee Ct Rio Rancho NM 87124 Sandoval Active 08/24/2011 09/30/2014 923 West Turney Avenue Phoenix AZ 85013 Maricopa Active 05/31/1998 09/30/2013 7908 Northridge Ave. NE Albuquerque NM 87109 Bernalillo Active 07/07/2009 09/30/2013 40 Bosquecillo Santa Fe NM 87508 Santa Fe Active 12/18/2008 09/30/2014 40 Bosquecillo Santa Fe NM 87508 Santa Fe Active 04/15/2011 09/30/2014 Box 56 Chama NM 87520 Rio Arriba Active 04/19/2010 09/30/2013 1429 Wellesley Dr. NE Albuquerque NM 87106 Bernalillo Active 01/31/2004 09/30/2013 4313 Ridgeway Drive San Diego CA 92116 San Diego Expired 12/31/1995 09/30/1999 1706 Royal Drive Las Cruces NM 88011 Dona Ana Expired 06/30/1994 09/30/2008 6220 N. Dal Paso Hobbs NM 88242 Lea Expired 01/05/2006 09/30/2009 6220 N. Dal Paso Hobbs NM 88242 Lea Active 10/23/2008 09/30/2014 190 Central Park Square, Suite 216 Los Alamos NM 87544 Los Alamos Active 09/26/2007 09/30/2013 Page 195 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0147621 Tara J. McCune 0133581 Licensed Mental Health Counselor Karen M. McDonald 0128141 Clinical Mental Health Counselor (LPCC) Kelly A. McDonald 0115911 Clinical Mental Health Counselor (LPCC) Nancy McDonald 0147471 Professional Mental Health Counselor Nancy McDonald 0150591 Temporary License Nancy McDonald 2194 Temporary License Susan B. McDonald 0123211 Art Therapist James Patrick McDonnell 2863 Clinical Mental Health Counselor (LPCC) Patricia M. McDowell 0090771 Marriage and Family Therapist Patricia M. McDowell 0101051 Clinical Mental Health Counselor (LPCC) Mathew Edward McFadden 0104461 Clinical Mental Health Counselor (LPCC) Jacqueline McFarland 0115901 Clinical Mental Health Counselor (LPCC) Kathleen Marie McFarland 1996 Clinical Mental Health Counselor (LPCC) Brenda G. McGee, Ph.D, LPCC 0136291 Clinical Mental Health Counselor (LPCC) Michael G. McGee Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10605 Pennyback Park Dr. NE Albuquerque NM 87123 Bernalillo Active 03/01/2012 09/30/2013 2403 Alvarado NE Albuquerque NM 87110 Bernalillo Active 07/19/2010 09/30/2013 6739 Calle Santiago NE Albuquerque NM 87113 Bernalillo Active 12/17/2009 09/30/2013 1876 Camino Lumbre Santa Fe NM 87505 Santa Fe Active 08/06/2008 03/31/2014 1876 Camino Lumbre Santa Fe NM 87505 Santa Fe Null and Void 02/27/2012 09/30/2012 1876 Camino Lumbre Santa Fe NM 87505 Santa Fe Active 06/11/2012 01/31/2013 488C Arroyo Tenorio Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2014 6 Brooks Way Santa Fe NM 87508 Santa Fe Active 05/28/2009 09/30/2013 3228 Calle De Molina Santa Fe NM 87507 Santa Fe Active 12/31/1994 09/30/2013 3228 Calle De Molina Santa Fe NM 87507 Santa Fe Active 03/09/2006 09/30/2013 1906 Merritt Ln Gallup NM 87301 McKinley Active 02/16/2007 09/30/2014 704 French Drive Aztec NM 87410 San Juan Active 06/08/2007 09/30/2014 2340 Hwy 180 E PMB 173 Silver City NM 88061 Grant Active 08/05/2008 09/30/2014 4400 Presidential Drive NE, Ste. C Albuquerque NM 87109 Bernalillo Active 08/31/1999 09/30/2014 1121 Hunter Drive El Paso TX 79915 El Paso Active 11/18/2010 03/30/2012 Page 196 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0152831 Michael M. McGee 2595 Substance Abuse Associate Sara H. McGee 0110251 Art Therapist Vickie J. McGinley 0115861 Clinical Mental Health Counselor (LPCC) Michelle Lee McGinn 0113521 Licensed Mental Health Counselor Michelle Lee McGinn 0152301 Alcohol and Drug Counselor Michelle Lee McGinn 4154 Temporary License Audrey Z. McGinnis 2134 Professional Mental Health Counselor Mary McGinnis 0074781 Clinical Mental Health Counselor (LPCC) Virginia E. McGirk 0087631 Clinical Mental Health Counselor (LPCC) Michael D. McGlathery 5193 Marriage and Family Therapist Kathryn McGlynn 0088221 Licensed Mental Health Counselor Kathryn McGlynn 0119471 Clinical Mental Health Counselor (LPCC) Tommy McGoldrick 0139971 Licensed Mental Health Counselor Tommy McGoldrick 0132521 Temporary License Jennifer A. McGough Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 405 E. Spring St. Silver City NM 88061 Grant Active 08/29/2012 09/30/2013 2127 Rio Grande Blvd NW Albuquerque NM 87104 Bernalillo Active 09/30/1994 09/30/2013 1552 Phoenix NW Albuquerque NM 87107 Bernalillo Active 12/28/2007 09/30/2013 1570 W. Maggio Way Apt. 1054 Chandler AZ 85224 Maricopa Active 08/01/2008 09/30/2014 1570 W. Maggio Way Apt. 1054 Chandler AZ 85224 Maricopa Active 05/09/2008 09/30/2014 1570 W. Maggio Way Apt. 1054 Chandler AZ 85224 Maricopa Active 08/16/2012 03/31/2013 3028 Marble Avenue NE Albuquerque NM 87106 Bernalillo Active 01/31/2000 09/30/2014 151 H Calle Ojo Feliz Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2014 3117 Renaissance Dr. SE Rio Rancho NM 87124 Sandoval Active 07/27/2004 09/30/2013 1520 Mesa Vista Rd. HC74, Box 21808 El Prado NM 87529 P.O. Box 32012 Santa Fe NM 87594 Taos Active 10/28/2005 09/30/2014 Santa Fe Upgraded 06/30/2000 09/30/2001 P.O. Box 32012 Santa Fe NM 87594 Santa Fe Active 12/08/2005 09/30/2014 P.O. Box 640412 El Paso TX 79904 El Paso Active 01/15/2009 09/30/2014 P.O. Box 640412 El Paso TX 79904 El Paso Null and Void 05/13/2011 12/31/2011 270 Coyote Trail Corrales NM 87048 Sandoval Active 06/02/2010 09/30/2013 Page 197 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0143521 Jennifer A. McGough 0154281 Licensed Mental Health Counselor Jennifer A. McGough 0074301 Alcohol and Drug Counselor Steven L. McGough 0135561 Marriage and Family Therapist William Richard McGowan 0153041 Alcohol and Drug Counselor Ginger E. McGuirk 0076361 Clinical Mental Health Counselor (LPCC) Sherry L. McHarg 0112251 Art Therapist Sherry L. McHarg 006236 Professional Mental Health Counselor Linda C. McIntire 006237 Professional Mental Health Counselor Linda C. McIntire 4265 Alcohol and Drug Counselor Nanette F. McIntyre 3190 Professional Mental Health Counselor Mary Ann McKaye 3586 Professional Mental Health Counselor Gordon W. McKee 0108881 Alcohol and Drug Counselor Kenneth J. McKee 4215 Clinical Mental Health Counselor (LPCC) Susan McKee 0078391 Clinical Mental Health Counselor (LPCC) Patricia K. McKeen Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 270 Coyote Trail Corrales NM 87048 Sandoval Active 09/23/2011 09/30/2013 270 Coyote Trail Corrales NM 87048 Sandoval Active 10/18/2012 09/30/2014 3 Herrada Court Santa Fe NM 87508 Santa Fe Active 07/06/2004 09/30/2013 1795 Agua Fria St. Santa Fe NM 87505 Santa Fe Active 10/20/2010 09/30/2014 1813 Boston Drive Las Cruces NM 88001 Dona Ana Active 08/31/2012 09/30/2013 533 Carroll Street Mandeville LA 70448 Saint Tammany Expired 09/30/2004 09/30/2009 533 Carroll Street Mandeville LA 70448 Saint Tammany Active 03/26/2008 03/31/2010 1117 South Washington Roswell NM 88203 Chaves Retired 08/31/2003 09/30/2008 1117 South Washington Roswell NM 88203 Chaves Retired 08/31/2002 09/30/2009 2107 S. Lipscomb St Amarillo TX 79109 Randall Active 03/31/1999 09/30/2013 3015 Glorieta Meadows Dr NE Rio Rancho NM 87144 1021 Birch Street Grants NM 87020 Sandoval Active 11/30/1998 09/30/2014 Cibola Retired 03/31/1997 09/30/2008 3 Starlight Dr. Edgewood NM 87015 Santa Fe Active 11/02/2007 09/30/2013 8900 Liberty Drive NE Albuquerque NM 87109 Bernalillo Active 12/31/1997 09/30/2013 600 First Street NW, Suite 200 Albuquerque NM 87102 Bernalillo Active 01/07/2005 09/30/2013 Page 198 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005666 Ann Marie McKelvey 0139371 Clinical Mental Health Counselor (LPCC) Ashley Susan McKenna 0892 Clinical Mental Health Counselor (LPCC) Thomas F. McKenna 0110801 Clinical Mental Health Counselor (LPCC) Stacie D. McKenzie 0122351 Alcohol and Drug Counselor Freda Todd McKeown 0099831 Clinical Mental Health Counselor (LPCC) Rebecca Marie McKibbin 0120381 Licensed Mental Health Counselor Exhilda Theresa McKinley 4082 Substance Abuse Associate Julie Anne McKinley 0085251 Clinical Mental Health Counselor (LPCC) Melanie Dawn McKinney 2969 Marriage and Family Therapist Robert Wesley McKinnie 0126311 Clinical Mental Health Counselor (LPCC) Normand E. McKinnon 0150451 Substance Abuse Associate Cay McLane 0153401 Substance Abuse Associate Cay McLane 0155731 Temporary License Cay McLane 1277 Temporary License Kathleen L. McLane Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date #8 Alcalde Road Santa Fe NM 87508-8721 Santa Fe Active 12/31/2000 09/30/2014 5023 5th Street NW Albuquerque NM 87107 Bernalillo Active 04/15/2011 09/30/2014 1200 Eubank Blvd, N.E. Albuquerque NM 87112 Bernalillo Active 06/30/1994 09/30/2014 3003 Stanford Ave. Farmington NM 87402 San Juan Active 01/28/2008 09/30/2013 PO Box 1730 Corrales NM 87048 Sandoval Active 04/10/2009 09/30/2013 P.O. Box 33 Mc Intosh NM 87032 Torrance Active 01/11/2007 09/30/2014 541 Cagua Drive SE Albuquerque NM 87108 Bernalillo Active 02/09/2009 09/30/2013 2700 Palo Alto Dr. NE Albuquerque NM 87112 Bernalillo Active 12/31/1997 09/30/2014 950 Jana Court Las Cruces NM 88005 Dona Ana Active 08/26/2005 09/30/2014 3 Encantado Loop Santa Fe NM 87508 Santa Fe Active 05/31/1996 09/30/2013 1237 Redondo Court Los Lunas NM 87031 Valencia Active 09/24/2009 09/30/2013 PO Box 90244 Albuquerque NM 87199-0244 Bernalillo Active 06/04/2012 09/30/2013 PO Box 90244 Albuquerque NM 87199-0244 Bernalillo Null and Void 09/14/2012 12/31/2012 PO Box 90244 Albuquerque NM 87199-0244 Bernalillo Active 12/19/2012 06/30/2013 415 W. Las Cruces Avenue Las Cruces NM 88005 Dona Ana Active 08/30/1994 09/30/2013 Page 199 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0103921 Molly Alene McLaughlin 0114741 Licensed Mental Health Counselor Sundi Karalyne McLaughlin 1590 Clinical Mental Health Counselor (LPCC) Cindy A. McLeod 0073131 Clinical Mental Health Counselor (LPCC) Virginia L. McNally 0085531 Alcohol and Drug Counselor Virginia L. McNally 0103621 Clinical Mental Health Counselor (LPCC) Erin C. McNeil 0103731 Licensed Mental Health Counselor Gregory A McNeil 0100881 Clinical Mental Health Counselor (LPCC) Roxanna L. McNeil 0154651 Clinical Mental Health Counselor (LPCC) Steven J. McNeill 0145821 Licensed Mental Health Counselor Margaret M McReynolds 0115951 Licensed Mental Health Counselor Kasia McRoberts 0126241 Licensed Mental Health Counselor Lisa M. McVann 0151001 Licensed Mental Health Counselor Lisa M. McVann 0138091 Temporary License David A. McVey 0152211 Licensed Mental Health Counselor David A. McVey Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 500 Aztec Road NW Albuquerque NM 87107 Bernalillo Active 05/21/2007 09/30/2014 413 East Abo Hobbs NM 88240 Lea Active 06/25/2008 09/30/2014 1300 Mineral Hill Las Vegas NM 87701 San Miguel Active 08/30/1994 09/30/2014 HC 74, Box 320 Pecos NM 87552 San Miguel Active 05/04/2004 09/30/2013 HC 74, Box 320 Pecos NM 87552 San Miguel Active 09/01/2005 09/30/2014 828 Quincy NE Albuquerque NM 87110 Bernalillo Active 05/11/2007 09/30/2014 901 Indiana SE Albuquerque NM 87108 Bernalillo Active 05/16/2007 09/30/2014 2020 Inez Dr. NE Albuquerque NM 87110 Bernalillo Active 02/12/2007 09/30/2014 74 Hampton Rd. # 74 Santa Fe NM 87505 Santa Fe Active 11/05/2012 09/30/2014 PO Box 1175 Santa Teresa NM 88008 Dona Ana Active 12/23/2011 09/30/2013 1997 Siringo Road Santa Fe NM 87505 Santa Fe Active 08/12/2008 09/30/2014 1905 Ironwood Court Las Cruces NM 88012 Dona Ana Active 09/23/2009 09/30/2013 1905 Ironwood Court Las Cruces NM 88012 Dona Ana Active 06/21/2012 01/31/2013 125 S. Globe Portales NM 88130 Roosevelt Active 02/22/2011 09/30/2014 125 S. Globe Portales NM 88130 Roosevelt Active 08/15/2012 03/31/2013 Page 200 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4297 Ernestine K. McWhorter 0132551 Licensed Mental Health Counselor Lauren Hobbs Mead 0084451 Licensed Mental Health Counselor Marla S. Mead 005729 Clinical Mental Health Counselor (LPCC) Janet G. Mecca 0094791 Art Therapist Janet G. Mecca 0151271 Clinical Mental Health Counselor (LPCC) Phyllis D. Mecca 0143081 Substance Abuse Associate Rachelle E. Mechenbier 0065312 Licensed Mental Health Counselor Dianne S. Meda 0145071 Alcohol and Drug Counselor Robert H. Meddaugh 0116231 Marriage and Family Therapist Sarah Joy Medeiros 0119261 Clinical Mental Health Counselor (LPCC) Bernadine JoAnn Medina 0130821 Substance Abuse Associate Brenda B. Medina 0146401 Licensed Mental Health Counselor Brenda B. Medina 0150581 Temporary License Brenda B. Medina 0116951 Temporary License Debbie Terese Medina Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 702 Fairacres NM 88033 Dona Ana Active 11/30/1997 09/30/2013 5005 Holmes Drive Farmington NM 87402 San Juan Active 06/03/2010 09/30/2013 64 Coleman Drive Silver City NM 88061 Grant Active 07/27/2005 09/30/2014 P.O. Box 93846 Albuquerque NM 87199 Bernalillo Active 02/28/2002 09/30/2013 P.O. Box 93846 Albuquerque NM 87199 Bernalillo Active 07/28/2006 09/30/2013 1708 Carrie St. Truth or Consequences NM 87901 Sierra Active 07/03/2012 09/30/2013 1006 8th St. NW Albuquerque NM 87102 Bernalillo Active 09/12/2011 09/30/2014 P.O. Box 863 Roswell NM 88202-0863 Chaves Active 01/31/2003 09/30/2014 1024 New Creek Ave. Henderson NV 89015 Clark Active 11/28/2011 09/30/2013 3965 Sombra Prieta Court Las Cruces NM 88012 Dona Ana Active 08/21/2008 09/30/2014 P.O. Box 2737 Las Vegas NM 87701 San Miguel Active 01/08/2009 09/30/2014 601 W. San Mateo Rd., #47 Santa Fe NM 87505 Santa Fe Active 03/29/2010 09/30/2013 601 W. San Mateo Rd., #47 Santa Fe NM 87505 Santa Fe Null and Void 01/17/2012 08/31/2012 601 W. San Mateo Rd., #47 Santa Fe NM 87505 Santa Fe Active 06/11/2012 01/31/2013 26 Haciendas del Valle Peralta NM 87042 Valencia Active 09/22/2008 09/30/2014 Page 201 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2281 Denise A. Medina 0097731 Licensed Mental Health Counselor Honor Johnson Medina 0144251 Marriage and Family Therapist Jory L. Medina 0155831 Temporary License Jory L. Medina 0146521 Temporary License Roselie Medina 0152061 Temporary License Roselie Medina 0098341 Temporary License Patricia L Meek 3045 Licensed Mental Health Counselor Dolores F. Meier 0097891 Clinical Mental Health Counselor (LPCC) Hubert Vencent Meighen 0139131 Clinical Mental Health Counselor (LPCC) Hubert Vencent Meighen 0107671 Marriage and Family Therapist Stephen Dean Melby 0096361 Alcohol and Drug Counselor Hilario Torrez Melendez 1591 Licensed Mental Health Counselor Kathryn A. Melendez 0115741 Clinical Mental Health Counselor (LPCC) Melissa Pickett 0787 CEU Provider Certificate Jacqueline Z. Mendelsohn Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1101 Pecos St. Las Vegas NM 87701 San Miguel Active 02/28/1995 09/30/2013 1725 N Thomason Rd Carlsbad NM 88220 Eddy Active 10/27/2006 09/30/2013 PO Box 52 Holman NM 87723 Mora Null and Void 10/18/2011 12/31/2012 PO Box 52 Holman NM 87723 Mora Active 12/24/2012 07/31/2013 3509 Tierra Fertil El Paso TX 79938 El Paso Null and Void 01/20/2012 08/31/2012 3509 Tierra Fertil El Paso TX 79938 El Paso Active 08/14/2012 03/31/2013 833 E Lakeview Drive Baton Rouge LA 70810 East Baton Rouge Retired 11/20/2006 09/30/2009 PO Box 5312 Navarre FL 32566 Santa Rosa Active 11/30/1995 09/30/2013 142 Crested Preak Court Santa Teresa NM 88008 Dona Ana Active 11/02/2006 09/30/2013 142 Crested Preak Court Santa Teresa NM 88008 Dona Ana Active 04/04/2011 09/30/2014 10021 Ladrones Pl. Sw Albuquerque NM 87121 Bernalillo Active 09/26/2007 09/30/2013 P.O. Box 1631 Mesilla Park NM 88047 Dona Ana Active 09/08/2006 09/30/2013 4800 San Mateo Ln. Apt. 207 Albuquerque NM 87109 Bernalillo Active 10/31/1994 09/30/2013 2811 Molino De Viento Santa Fe NM 87505 Santa Fe Active 07/30/2008 09/30/2013 106 Calle Paula Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 Page 202 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2977 Mary Lou Mendenhall 0322 Clinical Mental Health Counselor (LPCC) Ruby Mendez-Harris 0070991 Clinical Mental Health Counselor (LPCC) Ruby Mendez-Harris 0114751 Alcohol and Drug Counselor Odilia Padilla Mendez 0103591 Clinical Mental Health Counselor (LPCC) Ralph G. Mendez 0105221 Clinical Mental Health Counselor (LPCC) Veronica Rene Mendoza 0144591 Licensed Mental Health Counselor Veronica Rene Mendoza 2598 Clinical Mental Health Counselor (LPCC) William T. Menefee 2139 Professional Mental Health Counselor Pamela Menter 1727 Clinical Mental Health Counselor (LPCC) Linda L. Menzel 0136961 Clinical Mental Health Counselor (LPCC) Alicia Meraz Sanchez 0119021 Licensed Mental Health Counselor Isabella Raquel Meraz 0101711 Licensed Mental Health Counselor Rodney Henry Mercure 0136661 Licensed Mental Health Counselor Richard S. Meredith 0151901 Clinical Mental Health Counselor (LPCC) Merging Traffic, LLC CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4501 Morris Street NE Apt. 3127 Albuquerque NM 87111 Bernalillo Active 05/31/1996 09/30/2013 116 Stallion Circle Socorro NM 87801 Socorro Active 06/30/1994 09/30/2014 116 Stallion Circle Socorro NM 87801 Socorro Active 02/29/2004 09/30/2013 3131 Sierra Drive NE Albuquerque NM 87110 Bernalillo Active 06/26/2008 09/30/2014 8849 Indian Springs Rd Frederick MD 21702 Frederick Active 05/10/2007 09/30/2014 2807 San Lorenzo Ct. Las Cruces NM 88007 Dona Ana Upgraded 07/06/2007 09/30/2012 2807 San Lorenzo Ct. Las Cruces NM 88007 Dona Ana Active 11/01/2011 09/30/2013 333 Mankin St. NE Albuquerque NM 87123 Bernalillo Active 09/30/1994 09/30/2014 41-665 Kumuhau Street Waimanalo HI 96795 Honolulu Active 09/30/1994 09/30/2013 1735 Celina Ct. SE Rio Rancho NM 87124 Sandoval Active 08/30/1994 09/30/2013 2917 Santa Cruz SE Albuquerque NM 87106 Bernalillo Active 12/28/2010 09/30/2014 7819 Silverberry SW Albuquerque NM 87121 Bernalillo Active 12/30/2008 09/30/2014 4613 Camden Court NW Albuquerque NM 87114 Bernalillo Active 03/12/2007 09/30/2014 340 E. Montezuma Ave. Cortez CO 81321 Montezuma Active 12/01/2010 09/30/2014 PO Box 561 Las Vegas NM 87701 San Miguel Active 08/06/2012 09/30/2013 Page 203 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0531 Richard F. Merkert 0065892 Marriage and Family Therapist Harold Z. Mermelstein 006248 Professional Mental Health Counselor Constance E. Merrell-McDonald 0064411 Clinical Mental Health Counselor (LPCC) Constance E. Merrell-McDonald 0065682 Alcohol and Drug Counselor Constance E. Merrell-McDonald 0088251 Art Therapist James L. Merriken 0096701 Clinical Mental Health Counselor (LPCC) James L. Merriken 3223 Alcohol and Drug Counselor Madaline Linde Merry 0136011 Licensed Mental Health Counselor Trisha L. Mertens 4410 Licensed Mental Health Counselor Elizabeth D. Mesh 0140271 Art Therapist Susan Margaret Messal 0151191 Clinical Mental Health Counselor (LPCC) Kendra K. Messick 0097611 Temporary License Mary Anne Messina 4667 Clinical Mental Health Counselor (LPCC) Mary B. Messinger 0142931 Alcohol and Drug Counselor Jennifer Lee Mettling Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 109 Hercules Avenue Lompoc CA 93436 Santa Barbara Retired 06/30/1994 09/30/2009 19 Cochiti East Santa Fe NM 87508 Santa Fe Active 03/31/2003 09/30/2014 1405 San Rafael Place, NE Albuquerque NM 87122 Bernalillo Active 02/28/2003 09/30/2014 1405 San Rafael Place, NE Albuquerque NM 87122 Bernalillo Active 10/31/2002 09/30/2013 1405 San Rafael Place, NE Albuquerque NM 87122 Bernalillo Active 02/28/2003 09/30/2014 3376 Cloverdale Road Montgomery AL 36106 Montgomery Active 12/08/2005 09/30/2014 3376 Cloverdale Road Montgomery AL 36106 Montgomery Active 09/20/2006 09/30/2014 913 North Richard Carlsbad NM 88220 Eddy Active 04/30/1996 09/30/2014 10908 Malaguena Lane NE Albuquerque NM 87111 Bernalillo Active 11/04/2010 09/30/2014 329 E. Buena Vista #1 Santa Fe NM 87505 Santa Fe Retired 01/31/2000 09/30/2008 200 63rd St. SW #4 Albuquerque NM 87121 Bernalillo Active 05/24/2011 09/30/2014 2219 E. University Dr. Portales NM 88130 Roosevelt Active 06/27/2012 01/31/2013 12713 Viewcrest Place NE Albuquerque NM 87112 Bernalillo Active 10/24/2006 09/30/2013 3412 Espejo St. NE Albuquerque NM 87111 Bernalillo Active 01/31/2000 09/30/2013 4561 Inca St. NE Albuquerque NM 87111 Bernalillo Active 09/08/2011 04/30/2012 Page 204 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0080641 Pam Renee Meyer 0096101 Professional Mental Health Counselor Robin G. Meyer 0103001 Clinical Mental Health Counselor (LPCC) Werner Walter Meyer 1994 Alcohol and Drug Counselor Wayne Meyerowitz 0092761 Clinical Mental Health Counselor (LPCC) Polly C. Meyers 0625 Alcohol and Drug Counselor Robert J. Meyers, Ph.D 0156051 Clinical Mental Health Counselor (LPCC) Mayra R. Meza 0150551 Licensed Mental Health Counselor Michael Maestas 0070471 CEU Provider Certificate Michael W. Wallington 0147531 CEU Provider Certificate Laura C. Michaels 0282 Clinical Mental Health Counselor (LPCC) Peter A. Michaelson 0193 Clinical Mental Health Counselor (LPCC) Sandra A. Michaelson 0145671 Clinical Mental Health Counselor (LPCC) Jesse H. Michaud 0094351 0260 Clinical Mental Health Counselor (LPCC) Michele Coleman Sharp of Inner Guidance, LC CEU Provider Certificate Jan A. Middeldorf Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3061 Desert Sage Ave SW Los Lunas NM 87031 Valencia Active 04/01/2005 09/30/2014 8398 West Galileo Court Boise ID 83709-7850 Ada Active 09/01/2006 09/30/2013 3508 Piedra Vista Farmington NM 87402 San Juan Active 04/20/2007 09/30/2014 401-B San Pedro NE Albuquerque NM 87108 Bernalillo Active 10/31/1994 09/30/2014 2472 Camino Capitan Santa Fe NM 87505 Santa Fe Active 05/11/2006 09/30/2013 3216 Lamancha Drive NW Albuquerque NM 87104 Bernalillo Active 06/30/1994 09/30/2013 207 Tierra del Sol La Mesa NM 88044 Dona Ana Active 01/07/2013 09/30/2014 3137 Pueblo Haikuh Santa Fe NM 87507 Santa Fe Active 06/07/2012 09/30/2013 POB 6484 Santa Fe NM 87502 Santa Fe Active 01/31/2003 01/31/2005 635 Edison Avenue Philadelphia PA 19116-1236 Philadelphia Active 02/28/2012 09/30/2013 436 S. Marengo Ave. Pasadena CA 91101 Los Angeles Expired 06/30/1994 09/30/2008 2912 Calle Derecha Santa Fe NM 87505 Santa Fe Expired 10/31/1994 09/30/1997 3232 Cascades Tail Rio Rancho NM 87124 Sandoval Active 12/21/2011 09/30/2013 1025 Hermosa Dr SE Albuquerque NM 87108 Bernalillo Active 07/12/2006 09/30/2013 13528 Terragon Dr. NE Albuquerque NM 87112-6333 Bernalillo Active 06/30/1994 09/30/2014 Page 205 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0069601 William H. Middendorf 0139571 Clinical Mental Health Counselor (LPCC) Rochelle L. Middleton 0731 Licensed Mental Health Counselor Mary Ellen Miesem 3514 Clinical Mental Health Counselor (LPCC) Mary Ellen Miesem 0095891 Alcohol and Drug Counselor Richard Mietz 0087731 Professional Mental Health Counselor Margaret Anne Migliorati 0147691 Clinical Mental Health Counselor (LPCC) Mikahla Beutler 0082191 CEU Provider Certificate Judith A. Mikkelsen, PhD 0114441 Clinical Mental Health Counselor (LPCC) Beverly Dianne Miller 0088311 Clinical Mental Health Counselor (LPCC) Bonnie G. Miller 0595 Clinical Mental Health Counselor (LPCC) Bonnie W. Miller 0151561 Clinical Mental Health Counselor (LPCC) Brian E. Miller 0124351 Clinical Mental Health Counselor (LPCC) Deborah Anne Miller 0131111 Licensed Mental Health Counselor Gabriela Miller 0150631 Marriage and Family Therapist Jessica D. Miller Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3650 Morning Star Dr. # 2208 Las Cruces NM 88011 Dona Ana Active 12/31/2003 09/30/2013 742 #C Espada Drive El Paso TX 79912 El Paso Active 04/21/2011 09/30/2014 12513 Crestline Avenue NE Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2013 12513 Crestline Avenue NE Albuquerque NM 87112 Bernalillo Retired 01/31/1997 09/30/2012 P.O. Box 404 / 286 La Cueva Rd. Glorieta NM 87535 Santa Fe Active 08/28/2006 09/30/2013 5015 Royene NE Albuquerque NM 87110 Bernalillo Active 11/03/2005 09/30/2014 PO Box 727 Tesuque NM 87574 Santa Fe Active 03/02/2012 09/30/2013 1478 Miracerros North Santa Fe NM 87505 Santa Fe Active 06/01/2005 09/30/2014 P.O. Box 21515 Albuquerque NM 87154 Bernalillo Active 06/12/2008 09/30/2014 101 Hospital Lp, NE Suite 215 Albuquerque NM 87109 Bernalillo Active 12/12/2005 09/30/2014 120 La Salle Dr. Clovis NM 88101 Curry Active 07/31/1994 09/30/2013 1400 Carlisle NE, Suite B Albuquerque NM 87110 Bernalillo Active 07/16/2012 09/30/2013 12409 Hardin Ct. NE #C Albuquerque NM 87111 Bernalillo Active 07/10/2009 09/30/2013 2317 Britt St. NE Albuquerque NM 87112 Bernalillo Active 04/07/2010 09/30/2013 6244 Canario Ct. NW Albuquerque NM 87120 Bernalillo Active 06/12/2012 09/30/2013 Page 206 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153891 Jessica E. Miller 3806 Temporary License Joseph H. Miller 0098141 Alcohol and Drug Counselor Lori A. Miller 005797 Professional Mental Health Counselor Louise A. Miller 005708 Clinical Mental Health Counselor (LPCC) Mark J. Miller 0076651 Alcohol and Drug Counselor Mark J. Miller 0146911 Clinical Mental Health Counselor (LPCC) Megan A. Miller 0092121 Licensed Mental Health Counselor Natalie Miller 1767 Clinical Mental Health Counselor (LPCC) Pamela S. Miller 0090431 Professional Mental Health Counselor Robin C. Miller 0121001 Substance Abuse Associate Tanya L Miller 0132131 Marriage and Family Therapist Bettina S Milliken 0155201 Licensed Mental Health Counselor Clarence Irving Mills 0115321 Substance Abuse Associate Jocelyn Gamble Mims 0069482 Licensed Mental Health Counselor Jennifer Rebecca Minarsich-Noble Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9525 Gutierrez Rd. NE Albuquerque NM 87111 Bernalillo Active 10/03/2012 05/31/2013 2633 Pajarito Meadows SW Albuquerque NM 87105 Bernalillo Retired 01/31/1997 09/30/2012 3032 Pueblo Puye Santa Fe NM 87507 Santa Fe Active 11/07/2006 09/30/2013 9901 Mesa Arriba NE Albuquerque NM 87111 Bernalillo Active 03/31/2001 09/30/2013 1815 Carlyle Drive Las Cruces NM 88005 Dona Ana Active 01/31/2001 09/30/2014 1815 Carlyle Drive Las Cruces NM 88005 Dona Ana Active 10/08/2004 09/30/2013 1704 B Llano St., #154 Santa Fe NM 87505 Santa Fe Active 02/01/2012 09/30/2013 2397 Camino Pintores Santa Fe NM 87505 Santa Fe Active 04/18/2006 09/30/2013 431 Grove St. NE Albuquerque NM 87108 Bernalillo Active 07/31/1994 09/30/2013 2016 Miller Clovis NM 88101 Curry Active 02/24/2006 09/30/2013 205 Laguayra Dr. NE Albuquerque NM 87108 Bernalillo Active 03/02/2009 09/30/2013 642 Camino De La Luz Santa Fe NM 87505 Santa Fe Active 05/17/2010 09/30/2013 6301 Calle Amorada Ct., NW Albuquerque NM 87151 Bernalillo Active 11/29/2012 09/30/2014 6200 Montano Plaza Dr NW Apt. 515 Albuquerque NM 87120 9600 Camino Del Sol NE Albuquerque NM 87111 Bernalillo Active 07/21/2008 03/31/2014 Bernalillo Active 12/31/2003 09/30/2014 Page 207 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3546 Steven (Sam) A. Miners 4460 Alcohol and Drug Counselor Gwendolyn Minton 0088711 Substance Abuse Associate Nancy J. Miquelon 0141881 Clinical Mental Health Counselor (LPCC) Annette M. Mirabal 0154391 Substance Abuse Associate Annette M. Mirabal 0129911 Temporary License Heather Kristen Miranda 0060341 Clinical Mental Health Counselor (LPCC) Eileen Rouleaux Missall 0149931 Clinical Mental Health Counselor (LPCC) Abigail L. Mitchell 0071741 Clinical Mental Health Counselor (LPCC) Alta R. Mitchell 2577 Alcohol and Drug Counselor Judy L. Mitchell 0091501 Clinical Mental Health Counselor (LPCC) Pamela P. Mitchell 0181 Clinical Mental Health Counselor (LPCC) Raymond B. Mitchell 0073261 Clinical Mental Health Counselor (LPCC) Monica S. Mizrahi-Bracht 0143141 Alcohol and Drug Counselor Yvonne R. Moghadam 4027 Substance Abuse Associate Donna R. Mohr Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1125 Camino de Chavez, Pl. Bosque Farms NM 87068 Valencia Active 01/31/1997 09/30/2014 P.O. Box 164 Santa Rosa NM 88435 Guadalupe Active 12/31/1999 09/30/2014 P.O. Box 1502 Dulce NM 87528 Rio Arriba Active 12/22/2005 09/30/2014 2112 Stone Pine Dr. Las Cruces NM 88012 Dona Ana Active 07/22/2011 09/30/2013 2112 Stone Pine Dr. Las Cruces NM 88012 Dona Ana Active 10/24/2012 04/30/2013 1622 South Avenue B Portales NM 88130 Roosevelt Active 02/22/2010 09/30/2013 PO Box 16254 Las Cruces NM 88004 Dona Ana Active 05/31/2002 09/30/2013 1685 S. 4th Ave. Kankakee IL 60901 Kankakee Active 05/14/2012 09/30/2013 P.O. Box 251 Fort Wingate NM 87316 McKinley Active 02/29/2004 09/30/2013 800 CR 13 Clovis NM 88101 Curry Active 09/30/1994 09/30/2013 2724 Sharidan NW Albuquerque NM 87104 Bernalillo Active 03/22/2006 09/30/2013 8008 Rancho Quieto Ct. NW Albuquerque NM 87120-5369 Bernalillo Active 06/30/1994 09/30/2013 1050 Candeleras Street Las Cruces NM 88011 Dona Ana Active 05/07/2004 09/30/2013 2519 Flor Silvestre NW Albuquerque NM 87120 Bernalillo Active 09/13/2011 09/30/2014 P.O. Box 455 Tularosa NM 88352 Otero Active 07/31/2000 09/30/2013 Page 208 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0146231 Elizabeth Molina- Jaramillo 1728 Temporary License Reymundo A. Molina 0096011 Clinical Mental Health Counselor (LPCC) Sean L. Monaghan 0658 Licensed Mental Health Counselor Lorena C. Monda 0144491 Clinical Mental Health Counselor (LPCC) Manuela Mondloch 3173 Licensed Mental Health Counselor Joe J. Monge 2923 Professional Mental Health Counselor Virgina K. Mongiello 4734 Art Therapist Irene Diaz Monje 0095991 Alcohol and Drug Counselor Irene Diaz Monje 2843 Clinical Mental Health Counselor (LPCC) Cheryl A. Monks 0120 Clinical Mental Health Counselor (LPCC) Jeanette M. Monosoff 0095971 Marriage and Family Therapist Diana Monroe 0131011 Marriage and Family Therapist Karen E. Monroe 0151761 Substance Abuse Associate Carmen J. Monrreal 0368 Temporary License Bernardo L. Monserrat Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1216 Idlewilde Dr. El Paso TX 79925 El Paso Active 01/13/2012 08/31/2012 1708 Shelly Deming NM 88030 Luna Active 01/31/1995 09/30/2014 3751 Del Rey Blvd. Las Cruces NM 88012 Dona Ana Expired 08/30/2006 09/30/2009 P.O. Box 781 Placitas NM 87043 Sandoval Active 06/30/1994 09/30/2014 PO Box 27202 Albuquerque NM 87125 Bernalillo Active 10/26/2011 09/30/2013 1165 Mercantile Anthony NM 88021 Dona Ana Expired 03/31/2000 09/30/2009 P.O. Box 1096 El Prado NM 87529 Taos Active 11/30/1997 09/30/2013 1100 Arias NW Albuquerque NM 87104 Bernalillo Active 01/31/1999 09/30/2014 1100 Arias NW Albuquerque NM 87104 Bernalillo Active 08/30/2006 09/30/2013 10201 Cueva Del Oso NE Albuquerque NM 87111 Bernalillo Active 12/31/1996 09/30/2013 P.O. Box 1028 Ranchos de Taos NM 87557 Taos Retired 05/31/1994 09/30/2008 2950 Berardinelli Street Santa Fe NM 87505 Santa Fe Active 08/29/2006 09/30/2013 355 Rosedale Rd. Silver City NM 88061 Grant Active 04/05/2010 09/30/2013 390 Chicken Farm Rd. Anthony TX 79821 El Paso Active 07/26/2012 01/31/2013 37 Herrada Road Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2014 Page 209 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0788 Catherine J. Monserrat 0139181 Clinical Mental Health Counselor (LPCC) Marcel Montanez 0893 Licensed Mental Health Counselor Christine M. Montano 3683 Clinical Mental Health Counselor (LPCC) Edward S. Montano 0101661 Alcohol and Drug Counselor Leticia Lucia Montano 2575 Licensed Mental Health Counselor Marjorie L. Montano 0369 Clinical Mental Health Counselor (LPCC) Miriam K. Montavon 0069951 Professional Mental Health Counselor Edgar R. Montes 0085631 Marriage and Family Therapist Laura Louise Montogomery 0089581 Alcohol and Drug Counselor Gina Marie Montoya-Valdez 0135691 Licensed Mental Health Counselor Carolyn D Montoya 3710 Alcohol and Drug Counselor Ruby Montoya 2135 Alcohol and Drug Counselor Ruth E. Montoya 0149651 Professional Mental Health Counselor Susan B. Montoya 0090041 Temporary License Elisa Marlene Montrose Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 37 Herrada Road Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2014 3726 Piedras Negras Las Cruces NM 88012 Dona Ana Active 04/05/2011 09/30/2014 3932 La Sombra Albuquerque NM 87105 Bernalillo Expired 06/30/1994 09/30/2009 P.O. Box 796 Espanola NM 87532 Rio Arriba Active 04/30/1997 09/30/2013 4609 Breece Rd. SW Albuquerque NM 87105 Bernalillo Active 03/07/2007 09/30/2014 4607 Jamaica NE Albuquerque NM 87111 Bernalillo Active 06/30/1999 09/30/2013 413 Edgewood Pl., #1 River Forest IL 60305 Cook Expired 06/30/1994 09/30/1999 1108 Madison SE Albuquerque NM 87108 Bernalillo Active 03/31/2004 09/30/2013 12725 W Almeria Rd Avondale AZ 85392 Maricopa Active 09/02/2005 09/30/2014 8615 Alta Loma Lane NE Albuquerque NM 87113 Bernalillo Active 01/31/2006 09/30/2013 41 Maestas Rd Ranchos de Taos NM 87557 Taos Active 10/22/2010 09/30/2014 P.O. Box 726 Medanales NM 87548-0726 Rio Arriba Active 02/28/1997 09/30/2014 P.O. Box 66064 Albuquerque NM 87193 Bernalillo Active 08/30/1994 09/30/2013 5 Iron Dr. Silver City NM 88061 Grant Active 05/01/2012 12/31/2012 9 Katie Ct. Edgewood NM 87015 Santa Fe Active 02/10/2006 09/30/2013 Page 210 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0121941 Lori D. Moody 0685 Clinical Mental Health Counselor (LPCC) Buick Moomchi, Ph.D 0138791 Clinical Mental Health Counselor (LPCC) Nancy Blair Moon 0153011 Alcohol and Drug Counselor Angela R. Moore 0132281 Temporary License Barbara J. Moore 0132291 Marriage and Family Therapist Barbara J. Moore 0140691 Clinical Mental Health Counselor (LPCC) Dana C Moore 0110701 Clinical Mental Health Counselor (LPCC) Dawne S. Moore 0132081 Clinical Mental Health Counselor (LPCC) Deborah Ann Moore 0302 Licensed Mental Health Counselor Elizabeth A. Moore 0121711 Clinical Mental Health Counselor (LPCC) Emory W Moore 0110951 Clinical Mental Health Counselor (LPCC) George David Moore 0951 Alcohol and Drug Counselor Lynda L. Moore 0209 Clinical Mental Health Counselor (LPCC) Raymond Moore 0151011 Clinical Mental Health Counselor (LPCC) Michael Neff Morad-McCoy Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1712 Ave. Cristobal Colon Santa Fe NM 87501 Santa Fe Active 03/26/2009 09/30/2014 P.O. BOX 36006 Albuquerque NM 87176 Bernalillo Active 07/31/1994 09/30/2013 104 Camino del Campo #36 Santa Fe NM 87501 419 Harvard Dr. SE Albuquerque NM 87106 Santa Fe Active 03/22/2011 09/30/2014 Bernalillo Active 08/30/2012 03/31/2013 2501 Parkview Drive, Suite 230 Fort Worth TX 76102 Tarrant Active 05/24/2010 09/30/2013 2501 Parkview Drive, Suite 230 Fort Worth TX 76102 Tarrant Active 05/24/2010 09/30/2013 P.O. Box 442 Santa Fe NM 87504 Santa Fe Active 06/10/2011 09/30/2014 9512 Admrral Lowell Ave NE Albuquerque NM 87111 Bernalillo Active 01/28/2008 09/30/2013 4949 San Pedro Dr. N.E. Apt. # 74 Albuquerque NM 87109 Bernalillo Active 05/14/2010 09/30/2013 3120 Majestic Ridge Las Cruces NM 88011 Dona Ana Active 06/30/1994 09/30/2014 P.O. Box 91172 Albuquerque NM 87199 Bernalillo Active 03/17/2009 09/30/2013 3412 Blue Hill Avenue Gallup NM 87301-6901 McKinley Active 01/31/2008 09/30/2013 8909 Alvera Ave. SW Albuquerque NM 87121 Bernalillo Active 12/31/1996 09/30/2013 3801 Eubank, #200 Albuquerque NM 87111 Bernalillo Expired 06/30/1994 09/30/2003 9601 Giddings Ave NE Albuquerque NM 87109 Bernalillo Null and Void 06/21/2012 01/31/2013 Page 211 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0155871 Michael Neff Morad-McCoy 005568 Temporary License Annette Morales-Tymczak 0130291 Licensed Mental Health Counselor Gilberto Morales, Jr. 0149781 Alcohol and Drug Counselor Gilberto Morales, Jr. 0153211 Temporary License Gilberto Morales, Jr. 0065192 Temporary License Lisa Gayle Morales 2858 Clinical Mental Health Counselor (LPCC) Yolanda M. Morales 0089961 Clinical Mental Health Counselor (LPCC) Ann L. Moran 0952 Alcohol and Drug Counselor John Freesoul Moreau 0075461 Registered Independent Counselor Albert F. Moreno 0145101 Marriage and Family Therapist Jackie A. Moreno 0155441 Substance Abuse Associate Jessica Nicole Moreno 0094841 Alcohol and Drug Counselor Suzanne Moreno 0123381 Professional Mental Health Counselor Victor Manuel Moreno 0131481 Clinical Mental Health Counselor (LPCC) Olivia Hope Morgaine Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9601 Giddings Ave NE Albuquerque NM 87109 Bernalillo Active 12/24/2012 07/31/2013 9530 Garnet Falls Lane Humble TX 77396 Harris Expired 06/30/2001 09/30/2008 4657 Maxim Ct. Las Cruces NM 88013 Dona Ana Active 03/08/2010 09/30/2013 4657 Maxim Ct. Las Cruces NM 88013 Dona Ana Null and Void 05/02/2012 12/31/2012 4657 Maxim Ct. Las Cruces NM 88013 Dona Ana Active 09/10/2012 04/30/2013 P.O. Box 731 High Rolls Mtn Park NM 88325 Otero Active 01/31/2003 09/30/2014 1341 Vista Escondida Los Lunas NM 87031 Valencia Active 09/30/1994 09/30/2014 9 Psalms Los Lunas NM 87031 Valencia Active 02/08/2006 09/30/2013 2714 Camino De Hermanos Santa Fe NM 87507 Santa Fe Active 08/30/1994 09/30/2014 1941 S. Pierpont # 1106 Mesa AZ 85206 2605 S. Gold Ave. Deming NM 88030 Maricopa Active 09/01/2004 09/30/2013 Luna Active 11/29/2011 09/30/2013 4982 Wendall Rd. Las Cruces NM 88012 Dona Ana Active 12/07/2012 09/30/2014 7600 Scotts Place NE Albuquerque NM 87109 Bernalillo Active 07/28/2006 09/30/2013 941 S. Melendres Las Cruces NM 88005 Dona Ana Active 06/02/2009 09/30/2013 817 East Alameda St. #7 Santa Fe NM 87501 Santa Fe Active 04/21/2010 10/30/2010 Page 212 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0122871 Beau Morgan 3490 Alcohol and Drug Counselor Carolyn J. Morgan 1594 Clinical Mental Health Counselor (LPCC) Harriet K. Morgan 0128171 Professional Mental Health Counselor Janelle J. Morgan 0155791 Temporary License Janelle J. Morgan 0067072 Temporary License Julie A. Morgan 0103281 Substance Abuse Associate Julie A. Morgan 0109361 Marriage and Family Therapist Marilyn M. Morgan 0135111 Clinical Mental Health Counselor (LPCC) Michelle R. Morgan 0155411 Licensed Mental Health Counselor Raechelle Morgan 0153071 Licensed Mental Health Counselor Hiroshi Mori 0149371 Licensed Mental Health Counselor Kerry A. Moriarty 0126301 Clinical Mental Health Counselor (LPCC) Elderick E. Morris 1307 Alcohol and Drug Counselor Kathryn L. Morris 1729 Marriage and Family Therapist Kathryn L. Morris Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 864 Crownpoint NM 87313 McKinley Active 05/13/2009 09/30/2013 P.O. Box 793 El Prado NM 87529 Taos Active 05/31/1998 09/30/2014 20 Sandia Heights Dr. NE Albuquerque NM 87122 Bernalillo Active 08/30/1994 09/30/2014 7201 Skagway Drive NE Rio Rancho NM 87144 Sandoval Null and Void 12/18/2009 07/31/2012 7201 Skagway Drive NE Rio Rancho NM 87144 Sandoval Active 12/19/2012 10/31/2013 P.O. Box 44214 Rio Rancho NM 87174 Sandoval Active 07/31/2003 09/30/2014 P.O. Box 44214 Rio Rancho NM 87174 Sandoval Active 04/27/2007 09/30/2014 3218 Calle De Molina Santa Fe NM 87507 Santa Fe Active 11/19/2007 09/30/2013 4501 Bermuda Dr. NE Albuquerque NM 87111 Bernalillo Active 09/20/2010 09/30/2014 947 Cerrito Dr. Apt. A Gallup NM 87301 McKinley Active 12/07/2012 09/30/2014 1900 E. 10th St. Alamogordo NM 88310 Otero Active 09/05/2012 09/30/2013 125 Pueblo Luna Drive NW Albuquerque NM 87107 Bernalillo Active 04/19/2012 09/30/2013 200 Western Skies Road 141 Gallup NM 87301 McKinley Active 09/24/2009 09/30/2013 540 Superstition Drive Rio Rancho NM 87124-5807 Sandoval Active 06/30/1994 09/30/2013 540 Superstition Drive Rio Rancho NM 87124-5807 Sandoval Active 08/30/1994 09/30/2013 Page 213 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1854 Peter R. Morris 0136641 Clinical Mental Health Counselor (LPCC) Terry L. Morris 1364 Licensed Mental Health Counselor Shirley E. Morrison 0111951 Professional Mental Health Counselor Susan T. Morrongiello-Koenick 0148031 Licensed Mental Health Counselor Susan T. Morrongiello-Koenick 2601 Clinical Mental Health Counselor (LPCC) Ann L. Morrow 1366 Clinical Mental Health Counselor (LPCC) Evelyn (Eve) B. Morrow 0108401 Clinical Mental Health Counselor (LPCC) Sheila A. Morrow 0100791 Clinical Mental Health Counselor (LPCC) Anne Kendrick Morton 0105421 Licensed Mental Health Counselor Shara Moscinska 0136691 Clinical Mental Health Counselor (LPCC) George C. Moscona 3876 Clinical Mental Health Counselor (LPCC) Janice N. Moseley 0118211 Alcohol and Drug Counselor Stephen F. Moser 0088801 Licensed Mental Health Counselor Linda L. Moses 3102 Clinical Mental Health Counselor (LPCC) Judy K. Mosher Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 309 S. Birch Roswell NM 88203 Chaves Active 08/30/1994 09/30/2014 3020 San Rafael AV. SE Albuquerque NM 87106 Bernalillo Active 12/01/2010 09/30/2014 1815 Avenida Alturas NE Albuquerque NM 87110 Bernalillo Retired 08/30/1994 09/30/2008 404 Main St. Truth or Consequences NM 87901 Sierra Upgraded 03/13/2008 09/30/2012 404 Main St. Truth or Consequences NM 87901 Sierra Active 03/19/2012 09/30/2013 PO Box 2264 Corrales NM 87048 Sandoval Active 09/30/1994 09/30/2013 917 MadisonNE Albuquerque NM 87110 Bernalillo Retired 07/31/1994 09/30/2008 1021 Quincy St. NE Albuquerque NM 87110 Bernalillo Active 10/18/2007 09/30/2014 6415 Pepperdine St. NE Albuquerque NM 87111 Bernalillo Active 02/12/2007 09/30/2014 3 Homesteads Rd. Suite E Placitas NM 87043 702 Western Drive Belen NM 87002 Sandoval Active 07/13/2007 09/30/2014 Valencia Active 12/03/2010 09/30/2014 1221 Betts NE Albuquerque NM 87112 Bernalillo Active 02/28/1997 09/30/2014 Box 6979 Taos NM 87571 Taos Active 11/07/2008 09/30/2014 2105 Sugar Pine Way Las Cruces NM 88012 Dona Ana Retired 12/27/2005 09/30/2008 1313 Ferguson Lane Santa Fe NM 87505 Santa Fe Retired 12/31/1998 09/30/2012 Page 214 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0132481 Ernest J, Moss 0169 Clinical Mental Health Counselor (LPCC) Susan B. Mossman 0088441 Clinical Mental Health Counselor (LPCC) Jane M. Mottl 0108991 Professional Mental Health Counselor Linda Mouer-Hanna 0062 Clinical Mental Health Counselor (LPCC) Kendra A. Moulton 0140501 Professional Mental Health Counselor Barbara L. Mounce 0083631 Licensed Mental Health Counselor Nahid A. Movaghar 0152011 Clinical Mental Health Counselor (LPCC) Bria L. Moya 2596 Temporary License Ralph L. Moya 0084291 Clinical Mental Health Counselor (LPCC) Shannon Kay Moyer 0120591 Licensed Mental Health Counselor Llani Marie Mraz 0136261 Clinical Mental Health Counselor (LPCC) Filomena Gina Muccitelli 2593 Licensed Mental Health Counselor Kathleen M. Muehlenkamp 3284 Clinical Mental Health Counselor (LPCC) Larry W. Muhr 0119251 Clinical Mental Health Counselor (LPCC) Lonnette Kaye Muisener Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2409 Avery Lane Farmington NM 87402 San Juan Active 06/01/2010 09/30/2013 920 Fifth St. Las Vegas NM 87701 San Miguel Active 05/31/1994 09/30/2013 10408 Cueva del Oso Albuquerque NM 87111 Bernalillo Active 12/13/2005 09/30/2014 7916 Rancho De Palomas NE Albuquerque NM 87109 Bernalillo Active 11/09/2007 09/30/2013 6151 Park Hill NW Albuquerque NM 87114 Bernalillo Active 05/31/1994 09/30/2014 915 Valverde Carlsbad NM 88220 Eddy Active 06/07/2011 09/30/2014 P.O. Box 14174 Albuquerque NM 87191 Bernalillo Active 07/07/2005 09/30/2014 201 Pinnacle Dr. #413 Rio Rancho NM 87124 Sandoval Active 08/13/2012 03/31/2013 P.O. Box 392 Tucumcari NM 88401 Quay Active 08/30/1994 09/30/2014 51 Honeysuckle DR Mechanicsburg PA 17050 Cumberland Retired 07/21/2005 09/30/2008 P.O. Box 722 Santa Fe NM 87504 Santa Fe Active 02/17/2009 09/30/2014 7112 Pan American Freeway NE #327 Albuquerque NM 87109 P.O. Box 35734 Albuquerque NM 87176 Bernalillo Active 11/17/2010 09/30/2014 Bernalillo Active 10/31/1994 09/30/2013 23124 Hwy B Sedalia MO 65301 Pettis Retired 01/31/1997 09/30/2012 2908 Prenda de Plata Albuquerque NM 87120 Bernalillo Active 01/07/2009 09/30/2014 Page 215 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0106531 Francis A. Muldez 0147451 Licensed Mental Health Counselor Francis A. Muldez 4589 Temporary License Jennifer Mullen 0096221 Licensed Mental Health Counselor Sarah Dawn Mullikin 0135031 Professional Mental Health Counselor Sarah Dawn Mullikin 0140041 Clinical Mental Health Counselor (LPCC) Delia Munoz 0151131 Temporary License Delia Munoz 0131591 Temporary License Denisse I. Munoz 0152841 Substance Abuse Associate Elizabeth A. Munoz 0155331 Temporary License Fabiola Munoz 0080591 Substance Abuse Associate Mark R. Munro 0154761 Clinical Mental Health Counselor (LPCC) Vernona Anne Munroe-Hardy 0098841 Clinical Mental Health Counselor (LPCC) Barbara Anne Munsell 0581 Professional Mental Health Counselor Roberta A. Muro 1983 Professional Mental Health Counselor Anna Murphy Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1902 Nancy Lopez Blvd Belen NM 87002 Valencia Active 08/10/2007 09/30/2014 1902 Nancy Lopez Blvd Belen NM 87002 Valencia Active 02/27/2012 09/30/2012 9904 Academy Hills Road NE Albuquerque NM 87111 Bernalillo Active 05/31/1998 09/30/2013 3776 candelarias nw Albuquerque NM 87107 Bernalillo Expired 09/07/2006 09/30/2009 3776 candelarias nw Albuquerque NM 87107 Bernalillo Active 09/16/2010 09/30/2014 2800 Utah St. NE Albuquerque NM 87110 Bernalillo Null and Void 05/18/2011 03/31/2012 2800 Utah St. NE Albuquerque NM 87110 Bernalillo Active 06/25/2012 03/31/2013 9401 Otero Mesa Rd Sw Albuquerque NM 87121 Bernalillo Active 04/26/2010 09/30/2013 5106 Sterlina Pl. El Paso TX 79932 El Paso Active 08/29/2012 03/31/2013 9251 Eagle Ranch Rd. Apt. #2331 Albuquerque NM 87114 Bernalillo Active 12/06/2012 09/30/2014 801 W. Sayers Hobbs NM 88240 Lea Active 03/29/2005 09/30/2013 7108 Alamillo Rd. NW Albuquerque NM 87114 Bernalillo Active 11/13/2012 09/30/2014 1907 Gold SE. #2 Albuquerque NM 87105 Bernalillo Active 12/08/2006 09/30/2013 209 Calle Leon NW Albuquerque NM 87114 Bernalillo Retired 02/28/1995 09/30/2009 249 Bettencourt St. Sonoma CA 95476 Sonoma Retired 08/30/1994 09/30/2009 Page 216 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0090021 Chandell Fay Murphy 2277 Licensed Mental Health Counselor Debbie L. Murphy 0091081 Professional Mental Health Counselor Julie S. Murphy 0128031 Clinical Mental Health Counselor (LPCC) Lyndsey A. Murphy 0078061 Licensed Mental Health Counselor Sean D. Murphy 0152751 Alcohol and Drug Counselor Stephanie M. Murphy 0069791 Licensed Mental Health Counselor Carla A. Murray 4140 Licensed Mental Health Counselor Susan E. Musante 0076271 Clinical Mental Health Counselor (LPCC) Davina M. Muse 0130591 Licensed Mental Health Counselor Aleta Ann Myer-Alexander 0087581 Clinical Mental Health Counselor (LPCC) Linda D. Myers 0077511 Clinical Mental Health Counselor (LPCC) Tim MyLet 4506 Substance Abuse Associate Jacqueline June Myrick 0077611 Licensed Mental Health Counselor Steven J. Nadolny 0144481 Professional Mental Health Counselor Windsor S. Naething Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 22207 E. Nacoma Drive Queen Creek AZ 85242 Maricopa Expired 02/10/2006 09/30/2009 7725 Foothills Drive Farmington NM 87402 San Juan Active 01/31/1995 09/30/2013 13119 Buffalo Dancer Ct. NE Albuquerque NM 87112 Bernalillo Active 03/14/2006 09/30/2013 405-B Ridge Pl NE Albuquerque NM 87106 Bernalillo Active 12/09/2009 09/30/2013 2465 Manzano Loop NE Rio Rancho NM 87144 Sandoval Active 12/17/2004 09/30/2013 932 Camino De Chelly Santa Fe NM 87505 Santa Fe Active 08/27/2012 09/30/2013 2728 Vermont NE Albuquerque NM 87110 Bernalillo Expired 01/31/2004 09/30/2009 1405 W. 12th Avenue Anchorage AK 99501 Anchorage Active 12/31/1997 09/30/2014 P.O. Box 1011 Great Barrington MA 01230 Berkshire Active 09/28/2004 09/30/2013 7405 Carson Trail NW Albuquerque NM 87120 Bernalillo Active 03/24/2010 09/30/2013 11920 Dusty Rose Rd. NE Albuquerque NM 87122 Bernalillo Active 10/27/2005 09/30/2014 P.O. Box 686 Ranchos de Taos NM 87557 Taos Retired 11/24/2004 09/30/2009 931 A Country Club Drive SE Rio Rancho NM 87124 Sandoval Active 03/31/1998 09/30/2014 P.O. Box 80025 Albuquerque NM 87198 Bernalillo Active 12/01/2004 09/30/2013 10901 Corona Ave. NE Albuquerque NM 87122 Bernalillo Active 10/26/2011 09/30/2013 Page 217 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0123711 Merav Nagel 0132391 Licensed Mental Health Counselor Rachel Mae Nagy 0139141 Marriage and Family Therapist Melissa A Nandino 0064241 Clinical Mental Health Counselor (LPCC) Catherine A. Napier 0059101 Alcohol and Drug Counselor Natalie M Naranjo-Rodriguez 0109661 Professional Mental Health Counselor Comora Naranjo 0099201 Substance Abuse Associate Dusty Dawn Naranjo 0111181 Temporary License Dusty Dawn Naranjo 2003 Licensed Mental Health Counselor Letty L. Naranjo 0113571 Professional Mental Health Counselor Beatrice Narcisco 0130871 Clinical Mental Health Counselor (LPCC) Rita Gail Narr 0154411 Licensed Mental Health Counselor Rita Gail Narr 0067452 Temporary License Richard E. Nasef 2297 Marriage and Family Therapist Edward T. Nash 2298 Clinical Mental Health Counselor (LPCC) Geneva F. Nash Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4759 Pin Tail Ct Salt Lake City UT 84117 Salt Lake Active 06/15/2009 09/30/2013 4616 Firewheel Rd. NW Albuquerque NM 87120 Bernalillo Active 05/26/2010 09/30/2013 PO Box 1007 Estancia NM 87016 Torrance Active 04/04/2011 09/30/2014 2520 Bayou Rio Rancho NM 87144 Sandoval Active 09/30/2002 09/30/2013 20 Camino Vega Verde Corrales NM 87048 Sandoval Active 07/31/2002 09/30/2013 RR 4, Box 20-A Hernandez NM 87537 Rio Arriba Expired 12/07/2007 09/30/2009 P.O. Box 1896 Espanola NM 87532 Rio Arriba Null and Void 12/18/2006 01/31/2008 P.O. Box 1896 Espanola NM 87532 Rio Arriba Active 02/07/2008 09/30/2014 HC 64, Box 17 Chimayo NM 87522 Rio Arriba Expired 11/30/1994 09/30/2003 P.O. Box 9911 Albuquerque NM 87119 Bernalillo Active 05/09/2008 09/30/2014 704 City View Dr. Las Cruces NM 88011 Dona Ana Active 03/31/2010 09/30/2013 704 City View Dr. Las Cruces NM 88011 Dona Ana Active 10/25/2012 05/31/2013 10 Bonito Court Santa Fe NM 87508 Santa Fe Active 07/31/2003 09/30/2014 162 Tierra Encantada Corrales NM 87048 Sandoval Active 07/31/1994 09/30/2013 162 Tierra Encantada Corrales NM 87048 Sandoval Active 09/30/1994 09/30/2014 Page 218 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0103441 Mary Kate Nash 0065182 Clinical Mental Health Counselor (LPCC) Leslie E. Nathanson 0145151 Clinical Mental Health Counselor (LPCC) Native American Training Institute 0094331 CEU Provider Certificate Neal A Bowen, PhD 0077691 CEU Provider Certificate Neal L. Apple, M.D. 0085381 CEU Provider Certificate Nicole Neal 0065152 Clinical Mental Health Counselor (LPCC) Susan M. Neal 0151031 Art Therapist Charles E. Neelley, Jr. 0155101 Licensed Mental Health Counselor Patricia M. Neff 0088181 Temporary License Donald H Neidigk 1237 Licensed Mental Health Counselor Kathryn A. Nelsen 0954 Clinical Mental Health Counselor (LPCC) Brett A. Nelson 0107881 Clinical Mental Health Counselor (LPCC) Cindy Marie Nelson 0813 Licensed Mental Health Counselor Eric S. Nelson 0065572 Clinical Mental Health Counselor (LPCC) Frances E. Nelson Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3505 Camino de La Sierra NE Albuquerque NM 87111 Bernalillo Active 05/07/2007 09/30/2014 1313 Luana St. Santa Fe NM 87505 Santa Fe Active 01/31/2003 09/30/2014 1208 San Pedro NE #126 Albuquerque NM 87110 Bernalillo Active 11/30/2011 09/30/2013 530 De Moss Street Lordsburg NM 88045 Hidalgo Expired 07/12/2006 09/30/2009 P.O. Box 5000 Silver City NM 88062 Grant Active 12/02/2004 09/30/2013 1924 Lobo Canyon Road Grants NM 87020 Cibola Active 08/31/2005 09/30/2014 7104 Guadalupe Trail NW Albuquerque NM 87107 Bernalillo Active 12/31/2002 09/30/2014 PO Box 1598 Taos NM 87571 Taos Active 06/22/2012 09/30/2013 8872 Sciota St. Beulah CO 81023 Pueblo Active 11/27/2012 06/30/2013 P.O. Box 45151 Rio Rancho NM 87174-5151 Sandoval Active 12/08/2005 09/30/2014 6000 Persimmon Ct. NE Albuquerque NM 87111 Bernalillo Active 09/30/1994 09/30/2013 11927 Menaul Blvd NE Suite 101 Albuquerque NM 87112 123 Laurel Drive Pikeville NC 27863 Bernalillo Active 06/30/1994 09/30/2014 Wayne Active 09/28/2007 09/30/2014 1 N. Santo Domingo Trail Corrales NM 87048 Sandoval Retired 06/30/1994 09/30/2008 11 Gallina Rd. Santa Fe NM 87508 Santa Fe Active 02/28/2003 09/30/2014 Page 219 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0123981 Jessica Vaughan Nelson 0148011 Licensed Mental Health Counselor Natalya Gail Nelson 2610 Clinical Mental Health Counselor (LPCC) Petrina Nelson 0123881 Clinical Mental Health Counselor (LPCC) Rosanna V. Nelson 0114531 Clinical Mental Health Counselor (LPCC) Sarah G. Nelson 0149191 Licensed Mental Health Counselor Sarah G. Nelson 0151891 Clinical Mental Health Counselor (LPCC) Lindsey E Nesmith 0064311 Clinical Mental Health Counselor (LPCC) Ronald Kent Nestle 1105 Alcohol and Drug Counselor Kathleen J. Nestor-Groves 0069871 Clinical Mental Health Counselor (LPCC) Rhonda E. Neswald-Potter 0139691 Clinical Mental Health Counselor (LPCC) Celeste S. Nevarez 0110791 Licensed Mental Health Counselor Lucinda Nevarez, DA 0104221 Alcohol and Drug Counselor Michael L. Nevarez 0130261 Professional Mental Health Counselor New Day Youth and Family Services 0103811 Printed: 01/15/2013 CEU Provider Certificate New Mexico AIDS Education and Training Center CEU Provider Certificate General Address County License Status Issue Date Expiration Date 17685 Tierra Alta Las Cruces NM 88011 Dona Ana Active 06/25/2009 09/30/2013 5009 Basin NE Albuquerque NM 87111 Bernalillo Active 03/19/2012 09/30/2013 302 3rd St Ruidoso NM 88345 Lincoln Active 06/30/1995 09/30/2014 3304 Utah Street NE Albuquerque NM 87110 Bernalillo Active 06/23/2009 09/30/2013 515 Sandia Street Santa Fe NM 87501 Santa Fe Upgraded 06/18/2008 09/30/2012 515 Sandia Street Santa Fe NM 87501 Santa Fe Active 04/17/2012 09/30/2013 1607 Calle Del Rancho NE Albuquerque NM 87106 Bernalillo Active 08/06/2012 09/30/2013 2916 Missouri Las Cruces NM 88011 Dona Ana Active 08/31/2002 09/30/2013 1325 Connecticut Street W. Hobbs NM 88242 Lea Active 09/30/1994 09/30/2013 2530 Virginia NE, Suite 400 Albuquerque NM 87110 Bernalillo Active 12/31/2003 09/30/2013 1607 Tommy Aaron El Paso TX 79936 El Paso Active 05/02/2011 09/30/2014 1937 Lakeview Rd SW Albuquerque NM 87105 Bernalillo Active 01/28/2008 09/30/2013 415 W. Main Hobbs NM 88240 Lea Active 06/01/2007 09/30/2014 1330 San Pedro NE, Suite #201-B Albuquerque NM 87110 Bernalillo Active 03/08/2010 09/30/2013 IM MSC10-5550 1 University of NM Albuquerque NM 87131 Bernalillo Active 05/21/2007 09/30/2013 Page 220 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0156011 New Mexico Art Therapy Association 0073161 CEU Provider Certificate New Mexico Association for Infant Mental Health CEU Provider Certificate New Mexico Association for Play Therapy 0142851 CEU Provider Certificate New Mexico Recovery Academies 0155461 0086181 0142041 0124151 0124571 0141261 0073591 0154021 0028 0144581 0126701 0151581 Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 29884 Santa Fe NM 87592 Santa Fe Active 01/03/2013 09/30/2014 630 Manzano St. NE, Suite B Albuquerque NM 87110 Bernalillo Active 12/07/2012 09/30/2013 1317 Lucretia St. Albuquerque NM 87121 Bernalillo Active 03/31/2003 09/30/2013 1000 Main St. Los Lunas NM 87031 Valencia Active 09/01/2011 09/30/2013 Santa Fe Active 09/13/2005 09/30/2013 Cibola Active 08/02/2011 09/30/2013 Bernalillo Active 07/07/2009 09/30/2013 Bernalillo Active 07/20/2009 09/30/2013 Santa Fe Active 06/29/2011 09/30/2014 Santa Fe Active 06/01/2004 09/30/2013 Sandoval Active 10/11/2012 09/30/2014 Galveston Expired 06/30/1994 09/30/2000 Bernalillo Active 11/01/2011 09/30/2013 McKinley Active 10/14/2009 09/30/2013 Bernalillo Active 07/17/2012 09/30/2013 CEU Provider Certificate New Mexico Suicide Intervention Project, Inc. P.O. Box 6004 Santa Fe NM 87502 CEU Provider Certificate New Sunrise Regional Treatment Center P.O. Box 219 San Fidel NM 87049 CEU Provider Certificate Andrea P. Newman 5723 Guadalupe Trail NW Albuquerque NM 87107 Alcohol and Drug Counselor Andrea P. Newman 5723 Guadalupe Trail NW Albuquerque NM 87107 Marriage and Family Therapist Judith Jane Newman 149 Alamo Dr. Santa Fe NM 87501 Clinical Mental Health Counselor (LPCC) Kirstie A. Newman P.O. Box 9714 Santa Fe NM 87504 Art Therapist Sam R. Newmon 647 Calle de Blas Corrales NM 87048 Licensed Mental Health Counselor Susan B. Newton-Chambers 914 Glenlea Court Santa Fe TX 77510 Marriage and Family Therapist Mary C. Newton 171 Tranquilino Ct. NE Albuquerque NM 87102 Licensed Mental Health Counselor Theresa Mae Nez P.O. Box 262 Mexican Springs NM 87320 Alcohol and Drug Counselor Teya T. Nguyen 5134 Sunningdale NE Albuquerque NM 87110 Clinical Mental Health Counselor (LPCC) Page 221 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0146571 Xuan Vu Nguyen 0076401 Licensed Mental Health Counselor Carrie R. Nichols 0127 Clinical Mental Health Counselor (LPCC) G. M. "Rav" Nicholson 0133 Marriage and Family Therapist G. M. "Rav" Nicholson 0106941 Clinical Mental Health Counselor (LPCC) Cindy L. Nielsen 2294 Clinical Mental Health Counselor (LPCC) Donn H. Nielsen 0153661 Clinical Mental Health Counselor (LPCC) William J. Nienhaus 0153801 Substance Abuse Associate Caryn R. Nigliazzo 0133541 Clinical Mental Health Counselor (LPCC) Kristine Joy Nimmo 1308 Clinical Mental Health Counselor (LPCC) Katherine M. Ninos 0068392 Clinical Mental Health Counselor (LPCC) NM Sandplay Training Center 0115501 CEU Provider Certificate No Limits Productions, Inc./ No Limitz Learning CEU Provider Certificate Mary Katherine Noah Cordero 0115001 Substance Abuse Associate Raul Eduardo Noches 0137691 Alcohol and Drug Counselor Trisha Xaviera Nogales 0144511 Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1132 E. Mesa Ave. #1 Las Cruces NM 88001 Dona Ana Active 01/23/2012 09/30/2013 P.O. Box 1088 Ruidoso NM 88355 Lincoln Expired 10/01/2004 09/30/2009 5418 Vista Lejana NE Albuquerque NM 87111 Bernalillo Retired 05/31/1994 09/30/2009 5418 Vista Lejana NE Albuquerque NM 87111 Bernalillo Retired 06/30/1994 09/30/2009 2986 Majestic Terrace Las Cruces NM 88011 Dona Ana Active 08/23/2007 09/30/2013 4304 Prairie Hill PL NW Albuquerque NM 87114 Bernalillo Active 11/30/1994 09/30/2014 111 San Tomas Rd. Hanover NM 88041 Grant Active 09/25/2012 09/30/2014 1500 Peppoli Loop Rio Rancho NM 87124 Sandoval Active 09/27/2012 09/30/2014 3041 Daufaskie rd Sumter SC 29150 Sumter Active 07/16/2010 09/30/2013 P.O. Box 5524 Santa Fe NM 87502 Santa Fe Active 07/31/1994 09/30/2014 3300 Hastings Drive NE Albuquerque NM 87106 Bernalillo Active 10/27/2003 09/30/2013 9100 Luna Del Oro Rd. NE Albuquerque NM 87111 Bernalillo Active 10/26/2011 09/30/2013 1031 Oneida Dr. El Paso TX 79912 El Paso Active 07/23/2008 09/30/2014 200 Calle Damiano Bernalillo NM 87004 Sandoval Active 07/09/2008 09/30/2014 9204 Hondo Valley Pl SW Albuquerque NM 87121 Bernalillo Active 01/28/2011 09/30/2015 Page 222 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0139251 Stephen Christopher Nojek 0152471 Clinical Mental Health Counselor (LPCC) James Michael Nolan 0452 Temporary License Katie L. Nolasco 0734 Professional Mental Health Counselor Charles R. Noon 2963 Clinical Mental Health Counselor (LPCC) Nancy Nordyke (Isbell) 0133451 Clinical Mental Health Counselor (LPCC) Josefina Noriega-Aguirre 0148321 Substance Abuse Associate Josefina Noriega-Aguirre 0154081 Temporary License Josefina Noriega-Aguirre 0149621 Temporary License Emilia A Norman 0141931 Licensed Mental Health Counselor Carol A. Norris 3513 Marriage and Family Therapist Janet L. Norris 0152081 Alcohol and Drug Counselor Thomas Norris 2797 Substance Abuse Associate Michael Scott North 3713 Clinical Mental Health Counselor (LPCC) Michael Scott North 0095221 Alcohol and Drug Counselor James Michael Northcutt Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4601 Montano Road NW Apt. 19 Albuquerque NM 87120 Bernalillo Active 04/06/2011 09/30/2014 4719 Contenta Ridge Santa Fe NM 87507 Santa Fe Active 08/21/2012 03/31/2013 27 Elias Road Silver City NM 88022 Grant Active 06/30/1994 09/30/2013 P.O. Box 40361 Albuquerque NM 87196 Bernalillo Active 06/30/1994 09/30/2014 2341 Gen. Bradley NE Albuquerque NM 87112 Bernalillo Active 12/31/1998 09/30/2013 1308 Kearny Place Las Cruces NM 88007 Dona Ana Active 07/14/2010 09/30/2013 1308 Kearny Place Las Cruces NM 88007 Dona Ana Null and Void 03/22/2012 10/31/2012 1308 Kearny Place Las Cruces NM 88007 Dona Ana Active 10/11/2012 04/30/2013 2132 Coal Avenue SE Albuquerque NM 87106 Bernalillo Active 04/27/2012 09/30/2013 468 West Water St. Suite #4 Santa Fe NM 87501 2908 W. 23rd Roswell NM 88201 Santa Fe Active 07/26/2011 09/30/2014 Chaves Active 02/28/1997 09/30/2013 PO Box 11 Cliff NM 88028 Grant Active 08/14/2012 09/30/2013 2001 Erbbe Street, N.E. Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2013 2001 Erbbe Street, N.E. Albuquerque NM 87112 Bernalillo Active 06/30/1997 09/30/2013 1409 Sunset Place Roswell NM 88203 Chaves Active 08/07/2006 09/30/2013 Page 223 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0092261 Karan M. Northfield 0107061 Clinical Mental Health Counselor (LPCC) Skye T. Norton 0151851 Alcohol and Drug Counselor Skye T. Norton 0109241 Clinical Mental Health Counselor (LPCC) Gabriel Mostafa Nosseir 0134641 Licensed Mental Health Counselor Monica Nosseir 005922 Licensed Mental Health Counselor Edward Alvin Notson 0735 Licensed Mental Health Counselor Martha Bliss J. Novak 0090881 Clinical Mental Health Counselor (LPCC) Rosemary A. Nowak 0140761 Clinical Mental Health Counselor (LPCC) Yvonne M. Nunez 0149321 Substance Abuse Associate Yvonne M. Nunez 0153551 Temporary License Yvonne M. Nunez 0134281 Temporary License Laura J. Nunn 0253 Licensed Mental Health Counselor Laura L. Nystul 0287 Professional Mental Health Counselor Michael S. Nystul 4773 Clinical Mental Health Counselor (LPCC) Amy L. O'Brien Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5 Senda Torcida Santa Fe NM 87508 Santa Fe Active 04/24/2006 09/30/2013 P.O. Box 272 Cuba NM 87013 Sandoval Active 08/29/2007 09/30/2014 P.O. Box 272 Cuba NM 87013 Sandoval Active 08/01/2012 09/30/2013 3312 Cuervo Dr NE Albuquerque NM 87110 Bernalillo Active 11/19/2007 09/30/2013 3991 Watson Place Las Cruces NM 88005 Dona Ana Active 08/27/2010 09/30/2013 5006 Harmony Dr. Farmington NM 87402 San Juan Active 05/31/2001 09/30/2014 329 Sierra Place NE Albuquerque NM 87108 Bernalillo Retired 07/31/1994 09/30/2009 2435 Vereda de Encanto Santa Fe NM 87505 Santa Fe Active 03/13/2006 09/30/2013 4108 Sunland Circle NW Albuquerque NM 87107 Bernalillo Active 06/14/2011 09/30/2014 4108 Sunland Circle NW Albuquerque NM 87107 Bernalillo Null and Void 04/18/2012 11/30/2012 4108 Sunland Circle NW Albuquerque NM 87107 Bernalillo Active 09/19/2012 04/30/2013 38-B Del Sol Ct Sandia Park NM 87047 Bernalillo Active 08/16/2010 09/30/2013 4310 Summit Lane Las Cruces NM 88011 Dona Ana Retired 09/30/2009 Dept. Of Counseling, Box 3 CEP NMSU Dona Ana Las Cruces NM 88003 Expired 05/31/1994 09/30/2009 11620 Coronado Ave NE Albuquerque NM 87122-2407 Active 09/30/2001 09/30/2013 Bernalillo Page 224 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0073091 Gretchen A. O'Connell 0453 Marriage and Family Therapist Kate M. O'Donnell 0096251 Professional Mental Health Counselor Patricia O'Hara 0417 Licensed Mental Health Counselor Maureen F. O'Keefe 0111231 Professional Mental Health Counselor Mary Ellen O'Leary 0078021 Clinical Mental Health Counselor (LPCC) Mary Jean O'Leary 4780 Professional Mental Health Counselor Kathleen A. O'Malley 0080171 Clinical Mental Health Counselor (LPCC) Catherine M. O'Neill 0115331 Clinical Mental Health Counselor (LPCC) Maria Emilia O'Neill 0123581 Clinical Mental Health Counselor (LPCC) Rowen Elise O'Neill 0130921 Licensed Mental Health Counselor Rowen Elise O'Neill 0153021 Temporary License Rowen Elise O'Neill 0139421 Temporary License Nena Oakes 0092231 Substance Abuse Associate Mark Oberman 3007 Clinical Mental Health Counselor (LPCC) Barbara Oceanlight Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 9518 Santa Rosa CA 95405 Sonoma Active 05/04/2004 09/30/2013 4489 Fowler Dairy Road Harrison AR 72601-8953 Boone Expired 07/31/1994 09/30/1999 P.O. Box 25 San Cristobal NM 87564 Taos Active 09/07/2006 09/30/2013 1811 23rd St. Boulder CO 80302 Boulder Expired 06/30/1994 09/30/2003 4211 Marquette Ave. NE Albuquerque NM 87108 Bernalillo Active 02/08/2008 09/30/2014 809 Los Prados de Guadalupe Dr. NW Albuquerque NM 87107-6671 Bernalillo Expired 12/15/2004 09/30/2009 2128 Silver SE Albuquerque NM 87106 Bernalillo Active 12/31/1999 09/30/2013 P.O. Box 1705 El Prado NM 87529 Taos Active 03/16/2005 09/30/2014 2027 Crescent Dr. Las Cruces NM 88005 Dona Ana Active 07/21/2008 09/30/2014 PO Box 427 Velarde NM 87582 Rio Arriba Active 06/10/2009 09/30/2013 PO Box 427 Velarde NM 87582 Rio Arriba Null and Void 03/31/2010 09/30/2010 PO Box 427 Velarde NM 87582 Rio Arriba Active 08/30/2012 03/31/2013 1211 Otono Cir Farmington NM 87401 San Juan Active 04/18/2011 09/30/2014 6800 Prarrie Rd NE, Apt. 1303 Albuquerque NM 87109 Bernalillo Active 04/21/2006 09/30/2013 3373 St. Michael Drive Palo Alto CA 94306 Santa Clara Active 07/21/1995 09/30/2013 Page 225 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0140751 Cuba Odneal 0144811 Clinical Mental Health Counselor (LPCC) Rachel C. Offineer 0152361 Licensed Mental Health Counselor Kristina L. Ogilvie 0153131 Licensed Mental Health Counselor Kristina L. Ogilvie 0131361 Substance Abuse Associate Lorrie Ogren 0112261 Clinical Mental Health Counselor (LPCC) Loretta Salome Ohmaye 0153361 Licensed Mental Health Counselor Veronica I Ohrn-Lannerholm 0079181 Temporary License Martin King Okiri 0089471 Clinical Mental Health Counselor (LPCC) Ronald Gerald Olguin 0131411 Licensed Mental Health Counselor Ronald Gerald Olguin 0124041 Clinical Mental Health Counselor (LPCC) Tara Sue Olguin 0151941 Clinical Mental Health Counselor (LPCC) Olin Dodson 3572 CEU Provider Certificate Nancy W. Olivas 0127761 Alcohol and Drug Counselor Nancy W. Olivas 0091521 Clinical Mental Health Counselor (LPCC) Janet S. Oliver Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3505 Brussels Ct. NE Albuquerque NM 87111 Bernalillo Active 06/14/2011 09/30/2014 1501 Willys Knight Rd. NE Albuquerque NM 87112 Bernalillo Active 11/10/2011 09/30/2013 PO Box 3068 Durango CO 81302 La Plata Active 08/17/2012 09/30/2013 PO Box 3068 Durango CO 81302 La Plata Active 09/07/2012 09/30/2013 11515 First Street, #29 Sturtevant WI 53177 Racine Active 04/14/2010 09/30/2013 4 Brimhall Wash Santa Fe NM 87508 Santa Fe Active 03/26/2008 09/30/2014 PO Box 3945 Edgewood NM 87015 Santa Fe Active 09/13/2012 04/30/2013 P.O BOX 1311 BAYARD NM 88023 Grant Active 02/08/2005 09/30/2014 1044 Westerfeld NE Albuquerque NM 87112 Bernalillo Expired 01/25/2006 09/30/2009 1044 Westerfeld NE Albuquerque NM 87112 Bernalillo Active 04/15/2010 09/30/2013 1044 Westerfeld NE Albuquerque NM 87112 Bernalillo Active 07/01/2009 09/30/2013 2258 Calle Pulido Santa Fe NM 87505 Santa Fe Active 08/06/2012 09/30/2013 P.O. Box 443 Organ NM 88052 Dona Ana Active 03/31/1997 09/30/2014 P.O. Box 443 Organ NM 88052 Dona Ana Active 11/30/2009 09/30/2013 P.O. Box 1319 Angel Fire NM 87710 Colfax Active 03/22/2006 09/30/2013 Page 226 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0099821 Pamela Anne Olsen 0131301 Licensed Mental Health Counselor Zena L. Olsen 0088681 Licensed Mental Health Counselor Evonne Olson 0079931 Clinical Mental Health Counselor (LPCC) Gail A. Olson 0065622 Clinical Mental Health Counselor (LPCC) Gary Paul Olson 0213 Licensed Mental Health Counselor Josephine S. Olson 005693 Clinical Mental Health Counselor (LPCC) Ruth J. Omlin 0074841 Art Therapist On Corners Enterprises LLC 0136781 CEU Provider Certificate Michelle M Ontiveros 0155391 Licensed Mental Health Counselor Michelle M Ontiveros 0139671 Temporary License Oona Callaway 0155801 CEU Provider Certificate Rose L. Oplinger 0138721 Clinical Mental Health Counselor (LPCC) Joseph C. Orduna 0138731 Alcohol and Drug Counselor Joseph C. Orduna 1600 Clinical Mental Health Counselor (LPCC) Linda H. Orell Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2823 Hermosa NE Albuquerque NM 87110 Bernalillo Active 01/11/2007 09/30/2014 5600 Gibson Blvd. SE #407 Albuquerque NM 87107-3141 Bernalillo Active 04/12/2010 09/30/2013 116 La Paloma Street Santa Fe NM 87505 Santa Fe Active 12/21/2005 09/30/2014 15867 Larimore Plaza, # 115 Omaha NE 68116 Douglas Active 03/08/2005 09/30/2014 7920 Woodleaf Dr. NE Albuquerque NM 87109 Bernalillo Active 02/28/2003 09/30/2014 P.O. Box 1855 Aztec NM 87410 San Juan Active 05/31/1994 09/30/2013 3008 Calle Caballero Santa Fe NM 87507 Santa Fe Active 06/30/2002 09/30/2013 2818 Truman St. NE Albuquerque NM 87110 Bernalillo Active 07/31/2003 09/30/2013 2437 E. 21st Unit C Clovis NM 88101 Curry Active 12/10/2010 09/30/2014 2437 E. 21st Unit C Clovis NM 88101 Curry Active 12/06/2012 07/31/2013 19 Cochiti East Santa Fe NM 87508 Santa Fe Active 04/29/2011 09/30/2013 5609 Drake Ave NW Albuquerque NM 87114 Bernalillo Active 12/21/2012 09/30/2014 8801 Horizon Blvd. NE, Suite 260 Albuquerque NM 87113 Bernalillo Active 03/18/2011 09/30/2014 8801 Horizon Blvd. NE, Suite 260 Albuquerque NM 87113 Bernalillo Active 03/18/2011 09/30/2014 6713 Campfire NW Albuquerque NM 87120 Bernalillo Active 05/31/1998 09/30/2014 Page 227 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0107871 Bonnie Marie Orelli 0106891 Clinical Mental Health Counselor (LPCC) Sandra Jo Orne-Adams 0132321 Clinical Mental Health Counselor (LPCC) Sandra Ornelas 0083921 Temporary License Suzanne M. Ornelas 0088701 Clinical Mental Health Counselor (LPCC) Carrie Lea Orona 4671 Clinical Mental Health Counselor (LPCC) Mary C. Orona 0115651 Clinical Mental Health Counselor (LPCC) Victoria L. Oropello 4873 Clinical Mental Health Counselor (LPCC) Lauretta J. Orosco 0059281 Marriage and Family Therapist Lauretta J. Orosco 0153581 Alcohol and Drug Counselor Alayna A. Orozco 0152921 Licensed Mental Health Counselor Yuridia Orozco 0155781 Temporary License Yuridia Orozco 006123 Temporary License Dawn M. Orr 0847 Licensed Mental Health Counselor Gloria A. Ortega-Romero 0078121 Clinical Mental Health Counselor (LPCC) Efren J. Ortega Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3513 Oakmount Drive SE Rio Rancho NM 87124 Sandoval Active 09/28/2007 09/30/2013 26 Sweenhart Tijeras NM 87059 Bernalillo Active 08/23/2007 09/30/2014 7523 Wilcox Dr. El Paso TX 79915 El Paso Active 05/25/2010 07/30/2010 2012 W. Mann Ave. Artesia NM 88210 Eddy Active 07/08/2005 09/30/2014 227 W. Blanco Dr. Hobbs NM 88240 Lea Active 12/22/2005 09/30/2014 398 Macleod Rd. Las Cruces NM 88001 Dona Ana Active 07/31/1998 09/30/2013 516 A Carolina Ave. Raleigh NC 27606 Wake Retired 07/29/2008 09/30/2012 5A Calle San Martin Santa Fe NM 87506 Santa Fe Active 06/30/1999 09/30/2013 5A Calle San Martin Santa Fe NM 87506 Santa Fe Active 08/31/2002 09/30/2013 750 Deerbrush Ct., SW Los Lunas NM 87031 Valencia Active 09/21/2012 09/30/2014 264 Thorn Ridge Cir. El Paso TX 79932 El Paso Null and Void 08/29/2012 03/31/2013 264 Thorn Ridge Cir. El Paso TX 79932 El Paso Active 12/19/2012 10/31/2013 P.O. Box 127 Lemitar NM 87823 Socorro Active 02/28/2002 09/30/2013 P.O. Box 557 Las Vegas NM 87701 San Miguel Active 07/31/1994 09/30/2013 218 Iron SW Albuquerque NM 87102 Bernalillo Active 12/22/2004 09/30/2013 Page 228 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0128841 Emma Victoria Ortega 0150021 Licensed Mental Health Counselor Emma Victoria Ortega 0154791 Temporary License Emma Victoria Ortega 1858 Temporary License Mary L. Ortega 0120691 Professional Mental Health Counselor Michael Anthony Ortega 0152521 Licensed Mental Health Counselor Michelle Ortega 0004 Licensed Mental Health Counselor Barbara A. Ortiz 0119851 Marriage and Family Therapist Diane Ortiz 2891 Alcohol and Drug Counselor George J. Ortiz, Sr. 0113491 Clinical Mental Health Counselor (LPCC) Lori M Ortiz 0152661 Licensed Mental Health Counselor Senona M. Ortiz 0061601 Temporary License Amy Diane Osborne 3967 Clinical Mental Health Counselor (LPCC) Michael S. Osborne 0153561 Professional Mental Health Counselor Christine C. Osmundson 0084901 Clinical Mental Health Counselor (LPCC) Ann Kristin Osoba Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 224 Bonito Ln. NW Los Lunas NM 87031 Valencia Active 01/20/2010 09/30/2013 224 Bonito Ln. NW Los Lunas NM 87031 Valencia Null and Void 05/17/2012 12/31/2012 224 Bonito Ln. NW Los Lunas NM 87031 Valencia Active 11/14/2012 06/30/2013 1813 Figueroa Ct. NE Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2014 7421 Cienega Road NW Albuquerque NM 87120 Bernalillo Active 02/20/2009 09/30/2014 3150 N. Yarbrough, A 4 El Paso TX 79925 El Paso Active 08/21/2012 09/30/2013 P.O. Box 336 Santa Fe NM 87502 Santa Fe Active 04/30/1994 09/30/2014 73 Futura Drive Los Alamos NM 87544 Los Alamos Active 01/22/2009 09/30/2013 3200 Lore St. Clovis NM 88101 Curry Active 12/31/1998 09/30/2013 448 Cordova Ave Albuquerque NM 87107 Bernalillo Active 05/08/2008 09/30/2014 5001 A El Corte Mir Amar Albuquerque NM 87111 Bernalillo Active 08/23/2012 03/31/2013 20 Aldea Place Los Lunas NM 87031 Valencia Active 08/31/2002 09/30/2013 4583 Mayo Drive Columbus GA 31909 Muscogee Active 03/31/2000 09/30/2013 826 Calle Torreador Santa Fe NM 87505 Santa Fe Active 09/20/2012 09/30/2013 283 Main Street Apartment A2 Farmington CT 06032 Hartford Retired 08/11/2005 09/30/2008 Page 229 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0061212 Ruth M. Oswood 0136091 Clinical Mental Health Counselor (LPCC) Alice L. Otero-Armijo 0128901 Clinical Mental Health Counselor (LPCC) Milquella J. Otero 0153461 Clinical Mental Health Counselor (LPCC) Suzanne C. Otter 0152091 Temporary License Russell R. Ouellett 0106821 Alcohol and Drug Counselor Bernard L. Ouimet 0063931 Marriage and Family Therapist Randell Owensby 0144781 Alcohol and Drug Counselor Ronnie L Pace, Jr. 0063991 Clinical Mental Health Counselor (LPCC) Daniel M. Pacheco 0142911 Licensed Mental Health Counselor Erick B. Pacheco 0107431 Substance Abuse Associate Korinne D. Pacheco 3842 Professional Mental Health Counselor Kristina J. Pacheco 0128341 Alcohol and Drug Counselor Matthew L. Pacheco 0126691 Substance Abuse Associate Philip Gerard Pacheco 0107621 Alcohol and Drug Counselor Sylvia A. Pacheco Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 210 Guachupangue Espanola NM 87532 Rio Arriba Active 03/31/2003 09/30/2014 P.O. Box 95002 Albuquerque NM 87199 Bernalillo Active 11/08/2010 09/30/2014 406 Mayflower Mayflower TX 78108 Guadalupe Active 01/20/2010 09/30/2013 2300 W. Alameda #D3 Santa Fe NM 87507 Santa Fe Active 09/17/2012 04/30/2013 1335 Paseo de Pueblo Sur #119 Taos NM 87571 Taos Active 08/14/2012 09/30/2013 170 Washington St. #705 Haverhill MA 01832 Essex Retired 08/22/2007 09/30/2008 1229 El Caminito Hobbs NM 88240 Lea Active 08/31/2002 09/30/2013 6114 Valley Cliffs Dr.. San Antonio TX 78250 Bexar Active 11/08/2011 09/30/2013 7814 Rainwater Rd SW Albuquerque NM 87121 Bernalillo Expired 08/31/2002 09/30/2009 412 Asbury Rd. NE Rio Rancho NM 87124 Sandoval Active 09/06/2011 09/30/2014 1609 College Avenue Alamogordo NM 88310 Otero Active 09/18/2007 09/30/2014 P.O. Box 430 Casa Blanca NM 87007 Cibola Active 02/28/1997 09/30/2014 508 East La Paloma LN Roswell NM 88201 Chaves Active 12/28/2009 09/30/2013 P.O. Box 27744 Albuquerque NM 87125-7744 Bernalillo Active 10/14/2009 09/30/2013 2423 Calle Bonita Las Vegas NM 87701-4805 San Miguel Active 09/26/2007 09/30/2013 Page 230 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0096151 Tricia L. Pacheco 3267 Substance Abuse Associate Lynn K. Pachelli 0150161 Clinical Mental Health Counselor (LPCC) Paige N Pacini 0132181 Licensed Mental Health Counselor Veronica Jo Ann Padilla-Daley 0144851 Clinical Mental Health Counselor (LPCC) Betty J Padilla-Vigil 0150611 Temporary License Betty J Padilla-Vigil 0146001 Temporary License Diana S. Padilla 0098531 Licensed Mental Health Counselor Fedelina D. Padilla 0154821 Substance Abuse Associate Lori A. Padilla 0089631 Temporary License Marisol I. Padilla 1370 Clinical Mental Health Counselor (LPCC) Mary Lou Padilla 0092031 Clinical Mental Health Counselor (LPCC) Raul A. Padilla 006265 Substance Abuse Associate Tommie Page 0142451 Substance Abuse Associate Michele M. Pahl-Monson 0145811 Licensed Mental Health Counselor Michele M. Pahl-Monson Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3700 Chromite Ct. Las Cruces NM 88012 Dona Ana Expired 09/05/2006 09/30/2009 12 Lone Star Drive Waco TX 76708 McLennan Retired 12/31/1998 09/30/2009 8605 Canyon Run Rd. NE Albuquerque NM 87111 Bernalillo Active 05/24/2012 09/30/2013 7504 Danielito Ave. NW Albuquerque NM 87120 Bernalillo Active 05/19/2010 09/30/2013 8 Aspen Street Clayton NM 88415 Union Null and Void 11/10/2011 06/30/2012 8 Aspen Street Clayton NM 88415 Union Null and Void 06/11/2012 01/31/2013 1311 Pecos St. Las Vegas NM 87701 San Miguel Active 01/04/2012 09/30/2013 P.O. Box 634 Mountainair NM 87036 Torrance Active 11/21/2006 09/30/2013 62 Isleta Dr. Los Alamos NM 87544 Los Alamos Active 11/15/2012 06/30/2013 P.O. Box 305 Tome NM 87060 Valencia Active 01/31/2006 09/30/2013 P.O. Box 2627 Santa Fe NM 87504-2627 Santa Fe Active 09/30/1994 09/30/2013 P.O. Box 2965 Silver City NM 88061 Grant Expired 04/14/2006 09/30/2009 926 Isleta Blvd SW Albuquerque NM 87105 Bernalillo Retired 01/31/2002 09/30/2009 19 Vallecito Rd. Santa Fe NM 87506 Santa Fe Active 08/16/2011 09/30/2014 19 Vallecito Rd. Santa Fe NM 87506 Santa Fe Active 12/23/2011 09/30/2013 Page 231 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0112971 Michael L. Pahos 0095841 Alcohol and Drug Counselor Dana J. Paine 0084241 Clinical Mental Health Counselor (LPCC) Geralynn Marguerite Paiz-Chavez 0135311 Clinical Mental Health Counselor (LPCC) Sylvia Palacio-Aragon 0135081 Alcohol and Drug Counselor Courtney M. Palermo 0814 Licensed Mental Health Counselor A. Sharon Palma 3644 Clinical Mental Health Counselor (LPCC) Conita B. Palmer 0106311 Alcohol and Drug Counselor Elyn M. Palmer 0082261 Clinical Mental Health Counselor (LPCC) Mary Shannon Palmer 0137441 Marriage and Family Therapist Melissa A. Palmer 0150281 Clinical Mental Health Counselor (LPCC) Shaula R Palmer 0137061 Licensed Mental Health Counselor Pamela L. Beverage 2974 CEU Provider Certificate Arthur Panaro 2619 Clinical Mental Health Counselor (LPCC) Susan E. Panitch 0092961 Clinical Mental Health Counselor (LPCC) Kathlin L. Panteah Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2700 Vista Grande NW Unit #2 unit #2 Albuquerque NM 87120 920 Cardenas Drive NE Albuquerque NM 87108 Bernalillo Active 04/16/2008 09/30/2014 Bernalillo Active 08/23/2006 09/30/2013 P.O. Box 881 Placitas NM 87043 Sandoval Active 07/19/2005 09/30/2014 1515 El Dorado Loop Bosque Farms NM 87068 Valencia Active 10/05/2010 09/30/2013 3501 Juan Tabo Blvd. NE, APT. G9 Albuquerque NM 87111 Bernalillo Active 09/20/2010 09/30/2013 3 Cebolla Loop Jemez Springs NM 87025-9043 Sandoval Active 07/31/1994 09/30/2014 1208 San Pedro NE, Box 126 Albuquerque NM 87110 Bernalillo Retired 01/31/1997 09/30/2012 401 East Baja Hobbs NM 88240 Lea Active 08/07/2007 09/30/2014 6 Habitat Way Los Lunas NM 87031 Valencia Active 06/02/2005 09/30/2014 P.O. Box 294 Gila NM 88038 Grant Active 01/20/2011 09/30/2014 1203 Florida Road #8 Durango CO 81301 La Plata Active 05/29/2012 09/30/2013 1711 Coulter St. NE Rio Rancho NM 87144 Sandoval Active 12/30/2010 09/30/2013 501 G5 Rio Grande Avenue Santa Fe NM 87501 Santa Fe Active 12/31/1999 09/30/2014 28530 Oakhaven Court Lake Bluff IL 60044 Lake Active 07/31/1994 09/30/2013 P.O. Box 555 Zuni NM 87327 McKinley Expired 05/22/2006 09/30/2009 Page 232 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0131271 Kathlin L. Panteah 0083381 Alcohol and Drug Counselor Paolo Giudici 0147191 CEU Provider Certificate Thalia Papadakis 0153781 Licensed Mental Health Counselor Tai M. Paquin 0073671 Substance Abuse Associate Paradigm Ventures, Inc. 0148691 CEU Provider Certificate Sharyn (Sky) A. Paradise 0454 Clinical Mental Health Counselor (LPCC) Katherine Paras 0116271 Art Therapist Elise A. Pardue 4314 Clinical Mental Health Counselor (LPCC) Emily Paredes 0107001 Alcohol and Drug Counselor Parents for Behaviorally Different Children 0066632 CEU Provider Certificate Antonio N. Pargas 3341 Substance Abuse Associate Patricia J. Parish 0153391 Clinical Mental Health Counselor (LPCC) Jo-Lynn Park 0116501 Temporary License Rochelle R Park 4775 Clinical Mental Health Counselor (LPCC) Carol Lucille Parker Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 555 Zuni NM 87327 McKinley Active 04/12/2010 09/30/2013 P.O. Box 1491 Santa Fe NM 87504 Santa Fe Expired 07/01/2005 09/30/2009 4949 San Pedro NE, Apt. 78 Albuquerque NM 87109 Bernalillo Active 02/13/2012 09/30/2013 PO Box 123 New Laguna NM 87038 Cibola Active 09/27/2012 09/30/2014 29 Azul Loop Santa Fe NM 87508 Santa Fe Active 05/31/2004 09/30/2013 PO Box 5211 Santa Fe NM 87502 Santa Fe Active 03/30/2012 09/30/2013 903 West Alameda PMB #748 Santa Fe NM 87501 Santa Fe Active 07/31/1994 09/30/2014 PO Box 690 Tesuque NM 87574 Santa Fe Active 08/22/2008 09/30/2014 1902 Westwind Rd. Las Cruces NM 88007 Dona Ana Active 01/31/1999 09/30/2014 1101 Cardenas NE Albuquerque NM 87110 Bernalillo Expired 08/28/2007 09/30/2009 3115 Vega Verde SW Albuquerque NM 87105 Bernalillo Active 06/30/2003 09/30/2014 6233 Buenos Aires Pl. NW Albuquerque NM 87120 Bernalillo Active 12/31/1997 09/30/2013 PO Box 4323 Durango CO 81302 La Plata Active 09/14/2012 11/14/2012 91 Logging Trail Rd Durango CO 81303 La Plata Active 09/02/2008 09/30/2014 P.O. Box 544 Glorieta NM 87535 Santa Fe Active 12/31/1999 09/30/2013 Page 233 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0112 Cleland W. Parker 0104831 Clinical Mental Health Counselor (LPCC) Debby J Parker 0075961 Temporary License Mary Lourdes Parker 1860 Marriage and Family Therapist Brian D. Parkhill 3552 Professional Mental Health Counselor Brian D. Parkhill 0133471 Alcohol and Drug Counselor Kathleen Gaye Parks 0144761 Clinical Mental Health Counselor (LPCC) Kimberly A. Parra 0140341 Licensed Mental Health Counselor Andrew W. Parrish 0066702 Marriage and Family Therapist Robin Melinda Parsons 0154551 Clinical Mental Health Counselor (LPCC) Partners in Wellness 4392 CEU Provider Certificate Trish A. Pascale-Woodhull 0133351 Alcohol and Drug Counselor Diane L. Pascoe 0163 Marriage and Family Therapist Steven Patascher 0138481 Clinical Mental Health Counselor (LPCC) Eryn E. Patchett 0085791 Marriage and Family Therapist Richard L. Patnaude Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 02 Calle Ponderosa Placitas NM 87043 Sandoval Active 05/31/1994 09/30/2014 1520 South Avenue B Portales NM 88130 Roosevelt Active 06/25/2007 01/31/2008 5036 Justin Dr. NW Albuquerque NM 87114-4313 Bernalillo Active 09/20/2004 09/30/2013 P.O. Box 4144 Santa Fe NM 87502 Santa Fe Active 06/30/1995 09/30/2014 P.O. Box 4144 Santa Fe NM 87502 Santa Fe Active 03/31/1997 09/30/2014 10820 Fort Point Ln, NE Albuquerque NM 87123 Bernalillo Active 07/15/2010 09/30/2013 9409 Arvade Ave. NE Albuquerque NM 87112 Bernalillo Active 11/07/2011 09/30/2013 217 Moon River Ln. El Paso TX 79912 El Paso Active 05/26/2011 09/30/2014 HC 71 Box 1335 Hanover NM 88041 Grant Active 05/31/2003 09/30/2014 202 Central Ave. SE Albuquerque NM 87102 Bernalillo Active 10/29/2012 09/30/2013 522 Linda Vista Dr. Alamogordo NM 88310 Otero Active 01/31/1998 09/30/2014 1800 Franklin Mt. Dr. Cedar Park TX 78613 Williamson Active 07/07/2010 09/30/2013 14401 N 10th Street Phoenix AZ 85022-4312 Maricopa Active 06/30/1994 09/30/2013 5805 Balsa Pl. NE Albuquerque NM 87111 Bernalillo Active 03/09/2011 09/30/2014 436 Shady Brook Drive Richardson TX 75080 Dallas Active 09/06/2005 09/30/2014 Page 234 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0150731 Patricia Colahan 0143551 CEU Provider Certificate Patricia McKeen 0080741 CEU Provider Certificate Patrick Collins 0996 CEU Provider Certificate Alton M. Patterson 3535 Clinical Mental Health Counselor (LPCC) Alton M. Patterson 0108691 Alcohol and Drug Counselor Janet L. Patterson 0092141 Clinical Mental Health Counselor (LPCC) Jessica E. Patterson 0099471 Clinical Mental Health Counselor (LPCC) Kevin L. Patterson 0109911 Clinical Mental Health Counselor (LPCC) Scott Joseph Patterson 0129241 Substance Abuse Associate Scott Joseph Patterson 0155001 Alcohol and Drug Counselor Scott Joseph Patterson 108 Clinical Mental Health Counselor (LPCC) Trudy J. Patterson 0081521 Clinical Mental Health Counselor (LPCC) Consuelo Sanchez Paul 3773 Alcohol and Drug Counselor Sharon A. Paulowsky 0102641 Alcohol and Drug Counselor Andrea L. Pauls Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8801 Horizon Blvd., NE Suite 260 Albuquerque NM 87113 Bernalillo Active 06/14/2012 09/30/2013 600 1st st. NW Suite 200 Albuquerque NM 87102 Bernalillo Active 09/29/2011 09/30/2013 16 Lost Trail Road Roswell NM 88201 Chaves Active 04/05/2005 09/30/2013 P.O. Box 15134 Las Cruces NM 88004 Dona Ana Active 07/31/1994 09/30/2014 P.O. Box 15134 Las Cruces NM 88004 Dona Ana Active 01/31/1997 09/30/2013 110 Coroline Drive Saint Clairsville OH 43950 Belmont Expired 10/26/2007 09/30/2009 1919 Embudo Dr. NE Albuquerque NM 87112 Bernalillo Active 04/18/2006 09/30/2013 11605 Rosemont NE Albuquerque NM 87112 Bernalillo Active 12/26/2006 09/30/2014 2449 Chelwood Park Blvd. NE Unit #1 Albuquerque NM 87112 2449 Chelwood Park Blvd. NE Unit #1 Albuquerque NM 87112 2449 Chelwood Park Blvd. NE Unit #1 Albuquerque NM 87112 14103 W. Larkspur Dr. Surprise NM 87539 Bernalillo Expired 12/13/2007 09/30/2009 Bernalillo Active 01/29/2010 09/30/2013 Bernalillo Active 11/20/2012 09/30/2014 Rio Arriba Retired 11/30/1996 09/30/2009 32 Acorn Dr Silver City NM 88061 Grant Active 05/04/2005 09/30/2014 4006 Cholla Road Las Cruces NM 88011 Dona Ana Active 05/31/1997 09/30/2013 7802 Robin Ave. NE Albuquerque NM 87110 Bernalillo Active 04/11/2007 09/30/2014 Page 235 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2144 Maurice K. Payne 0133341 Clinical Mental Health Counselor (LPCC) Natalie C. Paynter 4542 Licensed Mental Health Counselor Patricia Ann Payte 4515 Alcohol and Drug Counselor Ray A. Paytiamo 0662 Alcohol and Drug Counselor Jiandan E. Payza 0136491 Professional Mental Health Counselor PB&J 0147701 CEU Provider Certificate Peak Behavioral Health Services 0106751 CEU Provider Certificate Sharon Lynn Pearson 4206 Licensed Mental Health Counselor William C. Pearson 0088461 Alcohol and Drug Counselor William C. Pearson 4025 Clinical Mental Health Counselor (LPCC) Richard E. Pease 0105861 Professional Mental Health Counselor Peter P. Pecos 0115251 Alcohol and Drug Counselor Peter P. Pecos 0102501 Licensed Mental Health Counselor Dennis William Peek 0065672 Licensed Mental Health Counselor Scott Pelking Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10805 Fort Point Lane Albuquerque NM 87123 Bernalillo Active 11/30/1994 09/30/2014 130 B Upper Ranchitos Rd. Taos NM 87571 Taos Active 07/07/2010 09/30/2013 3704 Player Place Clovis NM 88101 Curry Retired 08/31/1998 09/30/2008 P.O. Box 635 Shiprock NM 87420 San Juan Active 01/31/1999 09/30/2014 2619 W. Cezanne Circle Tucson AZ 87541 --- Active 06/30/1994 09/30/2014 1101 Lopez Road SW Albuquerque NM 87105 Bernalillo Active 11/29/2010 09/30/2013 5045 Mc. Nutt Rd. Santa Teresa NM 88008 Dona Ana Active 03/02/2012 09/30/2013 312 Bottom Creek Road Worthington PA 16262 Armstrong Active 08/22/2007 09/30/2014 830 Country Club Dr. Gallup NM 87301-6038 McKinley Active 01/31/1998 09/30/2014 830 Country Club Dr. Gallup NM 87301-6038 McKinley Active 12/13/2005 09/30/2014 P.O. Box 1608 Pendleton OR 97801 Umatilla Active 02/28/1999 09/30/2013 P.O. Box 404 Jemez Pueblo NM 87024 Sandoval Active 07/23/2007 09/30/2014 P.O. Box 404 Jemez Pueblo NM 87024 Sandoval Active 07/15/2008 09/30/2014 808 Hope Place, NE Albuquerque NM 87123 Bernalillo Active 04/05/2007 09/30/2014 6439 Belton Road El Paso TX 79912 El Paso Active 02/28/2003 09/30/2014 Page 236 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0142081 Anna G. Pell 0096761 Licensed Mental Health Counselor Crystal Lynn Pena 1861 Professional Mental Health Counselor Jack L. Pena, Jr. 2009 Clinical Mental Health Counselor (LPCC) Jack L. Pena, Jr. 0103941 Marriage and Family Therapist John Eck Pendergist 0146341 Professional Mental Health Counselor Cindy Jae Pendrey 0145081 Clinical Mental Health Counselor (LPCC) Sarah K. Penn 0138051 Licensed Mental Health Counselor Jennifer S. Peralta 0130661 Substance Abuse Associate Nikka S. Peralta 0091801 Substance Abuse Associate Pauline Eva Perea 0105241 Clinical Mental Health Counselor (LPCC) Debra M. Perez 0149361 Clinical Mental Health Counselor (LPCC) Helga Elena Perez 0154031 Clinical Mental Health Counselor (LPCC) Josefina A. Perez 0147761 Substance Abuse Associate April S. Perkins 0139231 Temporary License Jeanette H. Perkins Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2317 Camino Rancho Siringo Santa Fe NM 87505 Santa Fe Active 08/03/2011 09/30/2014 3307 Flat Iron Road NE Rio Rancho NM 87144 Sandoval Active 09/20/2006 09/30/2013 P.O. Box 685 (404 Cimarron Avenue) Springer NM 87747-0685 Colfax Active 09/30/1994 09/30/2013 P.O. Box 685 (404 Cimarron Avenue) Springer NM 87747-0685 Colfax Active 07/30/1995 09/30/2013 P.O. Box 2871 West Helena AR 72390 Phillips Retired 05/21/2007 09/30/2008 P.O. Box 91503 Albuquerque NM 87199 Bernalillo Active 01/17/2012 09/30/2013 4800 San Mateo Ln. Apt.225 Albuquerque NM 87109 Bernalillo Active 11/29/2011 09/30/2013 1600 Fowler Rd Roswell NM 88201 Chaves Active 02/17/2011 09/30/2014 4007 Broadview PL NW Albuquerque NM 87107 Bernalillo Active 03/25/2010 09/30/2013 615 Marble Avenue NW Albuquerque NM 87102 Bernalillo Active 03/30/2006 09/30/2013 12420 Tularosa Trail NE Albuquerque NM 87111 Bernalillo Active 07/06/2007 09/30/2014 1405 Zuni St. Santa Fe NM 87505 Santa Fe Active 04/19/2012 09/30/2013 306 CR 91 Socorro NM 87801 Socorro Active 10/11/2012 09/30/2014 3901 Indian School Rd. NE Apt #C-404 Albuquerque NM 87110 Bernalillo Active 03/08/2012 03/31/2013 5000 Barranca Rd. NE Rio Rancho NM 87144 Sandoval Active 04/06/2011 09/30/2014 Page 237 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0131021 Patricia Lee Perona 0098991 Licensed Mental Health Counselor Kim Marie Perrier 0137081 Licensed Mental Health Counselor Kim Marie Perrier 0138471 Clinical Mental Health Counselor (LPCC) Kim Marie Perrier 0115291 Art Therapist Bonita Dawn Perry 0144651 Clinical Mental Health Counselor (LPCC) Bryce V. Perry 0151421 Temporary License Bryce V. Perry 0150561 Temporary License Daryl J Perry 0140181 Substance Abuse Associate Kathleen M. Perry 4655 Marriage and Family Therapist Nancy Estelle Perry 2874 Clinical Mental Health Counselor (LPCC) Susan J. Perry 0058921 Clinical Mental Health Counselor (LPCC) Diana Rose Person 0073221 Clinical Mental Health Counselor (LPCC) Diana Rose Person 0115301 Alcohol and Drug Counselor Lorual V. Peschka 0145301 Substance Abuse Associate Lorual V. Peschka Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5264 Wyoming Blvd. NE, # C-16 Albuquerque NM 87111 Bernalillo Active 04/05/2010 09/30/2013 5968 Sierra Nevada Santa Fe NM 87507 Santa Fe Expired 12/14/2006 09/30/2009 5968 Sierra Nevada Santa Fe NM 87507 Santa Fe Active 12/30/2010 09/30/2014 5968 Sierra Nevada Santa Fe NM 87507 Santa Fe Active 03/08/2011 09/30/2014 10 Gaviota Rd. Santa Fe NM 87508 Santa Fe Active 07/15/2008 09/30/2014 443 Mechem Dr. Glencoe NM 88324 Lincoln Null and Void 11/03/2011 06/30/2012 443 Mechem Dr. Glencoe NM 88324 Lincoln Active 07/09/2012 02/28/2013 PO Box 782 Bayard NM 88023 Grant Active 06/08/2012 09/30/2014 5330 San Mateo NE #E68 Albuquerque NM 87109 Bernalillo Active 05/20/2011 09/30/2014 15 Arroyo Ridge Road Santa Fe NM 87508 Santa Fe Active 08/31/1999 09/30/2013 109 Verano Loop Santa Fe NM 87508 Santa Fe Active 07/11/1995 09/30/2014 P.O. Box 1073 Alto NM 88312 Lincoln Active 02/28/2002 09/30/2013 P.O. Box 1073 Alto NM 88312 Lincoln Active 05/06/2004 09/30/2013 P.O. Box 721 Roswell NM 88202-0721 Chaves Active 07/16/2008 09/30/2014 P.O. Box 721 Roswell NM 88202-0721 Chaves Active 12/06/2011 07/31/2012 Page 238 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0109671 Amanda R. Peters 0119911 Licensed Mental Health Counselor Ann Renee Petersen 1242 Clinical Mental Health Counselor (LPCC) Cynthia Y. Petersen 3737 Clinical Mental Health Counselor (LPCC) Cynthia Y. Petersen 0137451 Alcohol and Drug Counselor Meira G Petersen 0152901 Licensed Mental Health Counselor Meira G Petersen 0132531 Temporary License Barry Russell Peterson 0125491 Alcohol and Drug Counselor Debra Lynn Peterson 0095691 Licensed Mental Health Counselor Misty Nicole Peterson 0116721 Temporary License Shawn Christopher Peterson 0151601 Licensed Mental Health Counselor Cheryl S. Petree 2643 Clinical Mental Health Counselor (LPCC) Martin A. Petsonk 3457 Professional Mental Health Counselor Martin A. Petsonk 0100131 Alcohol and Drug Counselor Julita G. Pezzano 0146091 Clinical Mental Health Counselor (LPCC) Cherie C. Pflieger Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 117 San Salvador Lane Santa Fe NM 87501 Santa Fe Expired 12/07/2007 09/30/2009 1025 Camino de Lucia Corrales NM 87048 Sandoval Active 01/22/2009 09/30/2013 PO Box 8190 Albuquerque NM 87198 Bernalillo Active 06/30/1994 09/30/2014 PO Box 8190 Albuquerque NM 87198 Bernalillo Active 07/31/1997 09/30/2013 853 A Camino Los Abuelos Lamy NM 87540 Santa Fe Active 01/20/2011 09/30/2014 853 A Camino Los Abuelos Lamy NM 87540 Santa Fe Active 08/29/2012 03/31/2013 205 w. 3rd St. Lusk WY 82225 Niobrara Active 06/02/2010 09/30/2013 P.O. Box 125 Radium Springs NM 88054 Dona Ana Active 08/24/2009 09/30/2013 185 Airport Rd. Santa Fe NM 87507 Santa Fe Active 08/22/2006 02/22/2007 10219 Wickenburg St. NW Albuquerque NM 87114 Bernalillo Active 09/15/2008 09/30/2014 55 Equus Alamogordo NM 88310 Otero Active 07/17/2012 09/30/2013 PO Box 449 Artesia NM 88211 Eddy Active 08/30/1994 09/30/2013 PO Box 449 Artesia NM 88211 Eddy Active 01/31/1997 09/30/2013 P.O. Box 66033 Albuquerque NM 87193 Bernalillo Active 01/17/2007 09/30/2014 7201 Grange Ave. NW Albuquerque NM 87120 Bernalillo Active 01/10/2012 09/30/2013 Page 239 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0063831 Loan T Phan 0085281 Licensed Mental Health Counselor Linda Hall Phelps 4687 Marriage and Family Therapist Ann Winston Phillips 0076031 Alcohol and Drug Counselor Marlene Elaine Phillips 3881 Clinical Mental Health Counselor (LPCC) Robert Owen Phillips 0065752 Alcohol and Drug Counselor Valorie L. Phillips 0110731 Substance Abuse Associate Linda Michele Piasecki 0093071 Clinical Mental Health Counselor (LPCC) Noreen J. Pichardo 0111021 Alcohol and Drug Counselor Melissa Pickett 0099141 Clinical Mental Health Counselor (LPCC) Cynthia L Picone 0134431 Marriage and Family Therapist Brenda Lee Pierce 1243 Clinical Mental Health Counselor (LPCC) Craig L. Pierce 1244 Clinical Mental Health Counselor (LPCC) Craig L. Pierce 0081231 Marriage and Family Therapist Pamela Ann Pierce 005588 Alcohol and Drug Counselor Jeanne Pierrot Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 21 Cattail Ln. Unit 2 Barrington NH 03825-5103 Strafford Active 08/31/2002 09/30/2013 119 Piedra Loop Los Alamos NM 87544 Los Alamos Active 08/30/2005 09/30/2014 310 Sawtooth Frive #7 Fayetteville NC 28314 Cumberland Active 08/31/1998 09/30/2013 6211 Sunray Road NW Albuquerque NM 87120 Bernalillo Active 09/21/2004 09/30/2013 1311 Highland Rd. Roswell NM 88201 Chaves Active 01/31/1997 09/30/2013 215 Vista Del Rio Belen NM 87002 Valencia Active 02/28/2003 09/30/2014 1616 Torribiro Drive NE Albuquerque NM 87112 Bernalillo Active 01/28/2008 09/30/2013 59 Road 2950 Aztec NM 87410 San Juan Active 05/30/2006 09/30/2013 2811 Molino De Viento Santa Fe NM 87505 Santa Fe Active 02/05/2008 09/30/2014 P.O. Box 488 Quemado NM 87829 Catron Active 12/14/2006 09/30/2013 2121 N. Rojo Hobbs NM 88240 Lea Active 08/23/2010 09/30/2013 4708 Royene NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2013 4708 Royene NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2014 3530 Paradise Lane Las Cruces NM 88007 Dona Ana Active 04/21/2005 09/30/2014 711-32 Tramway Place NE Albuquerque NM 87122 Bernalillo Active 12/31/2002 09/30/2014 Page 240 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0149631 Misty Smith Pilgrim 0371 Clinical Mental Health Counselor (LPCC) Donna K. Pillow 2880 Marriage and Family Therapist Bernadette Pina 0131641 Clinical Mental Health Counselor (LPCC) Caprice B. Pino 3913 Alcohol and Drug Counselor Paul D. Pino 0130511 Alcohol and Drug Counselor Graciela Irene Pinon 4114 Marriage and Family Therapist Arlene D. Pioche 0144791 Alcohol and Drug Counselor Jacob M. Pioche 3813 Substance Abuse Associate James B. Pioche 4049 Alcohol and Drug Counselor Orlando J. Pioche 0737 Alcohol and Drug Counselor Sherry L. Piperno 0066752 Clinical Mental Health Counselor (LPCC) Christopher James Pittelli 0145471 Professional Mental Health Counselor Christopher James Pittelli 0078411 Temporary License Bryce Anne Pittenger 0116741 Clinical Mental Health Counselor (LPCC) Beth A. Pixley Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 800 Oro Real NE Albuquerque NM 87123-1921 Bernalillo Active 04/27/2012 09/30/2013 1510 Sea Coast Drive Imperial Beach CA 91932 San Diego Expired 10/31/1994 09/30/1997 3829 Stoney Brook Circle Las Cruces NM 88005 Dona Ana Active 12/31/1994 09/30/2014 P.O. Box 35333 Albuquerque NM 87176 Bernalillo Active 04/29/2010 09/30/2013 P.O. Box 723 Laguna NM 87026 Cibola Active 06/30/1997 09/30/2013 599 El Gusto El Paso TX 79912 El Paso Active 03/18/2010 09/30/2013 P.O. Box 583 Kirtland NM 87417 San Juan Active 01/31/1999 09/30/2014 3809 Buckingham St. Farmington NM 87402 San Juan Active 11/08/2011 09/30/2013 P.O. Box 276 Shiprock NM 87420 San Juan Active 06/30/1997 09/30/2013 P.O. Box 583 Kirtland NM 87417 San Juan Active 01/31/1999 09/30/2013 13315 Cloudview Avenue NE Albuquerque NM 87123 Bernalillo Retired 06/30/1994 09/30/2009 PO Box 11 Danboro PA 18916 Bucks Active 06/30/2003 09/30/2014 PO Box 11 Danboro PA 18916 Bucks Active 12/09/2011 07/30/2012 636 Fairway Road NW Albuquerque NM 87107 Bernalillo Active 01/07/2005 09/30/2013 8808 Aspen Ave NE Albuquerque NM 87112 Bernalillo Active 09/15/2008 09/30/2014 Page 241 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1375 Sarah B. Pla 1606 Clinical Mental Health Counselor (LPCC) Lynn K. Plagge 3451 Clinical Mental Health Counselor (LPCC) Lucille B. Platero 0097091 Alcohol and Drug Counselor Matthew Judd Poel 1607 Clinical Mental Health Counselor (LPCC) William J. Pogue 3119 Clinical Mental Health Counselor (LPCC) Merle Lee Pokempner 2015 Art Therapist Margaret M. Polito 0070241 Clinical Mental Health Counselor (LPCC) H. Barach Pollem 0072741 Clinical Mental Health Counselor (LPCC) Paulette L. Pollem 2625 Licensed Mental Health Counselor Susan D. Pollock 0090991 Clinical Mental Health Counselor (LPCC) Lisa Polsky 0154571 Clinical Mental Health Counselor (LPCC) Erin S. Pomerantz-Castillo 0154581 Clinical Mental Health Counselor (LPCC) Erin S. Pomerantz-Castillo 2145 Art Therapist Julie A. Ponce 1609 Professional Mental Health Counselor Belle G. Ponder Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4618 Idlewilde SE Albuquerque NM 87108 Bernalillo Active 07/31/1994 09/30/2013 521 San Clemente Albuquerque NM 87107 Bernalillo Active 01/31/1995 09/30/2014 P.O. Box 865 Crownpoint NM 87313 McKinley Retired 03/31/1997 09/30/2009 7701 Summer NE Albuquerque NM 87110 Bernalillo Active 09/28/2006 09/30/2013 313 W. Apache Farmington NM 87401 San Juan Active 07/31/1994 09/30/2013 3939 Rio Grande Blvd. Unit 41 Albuquerque NM 87107 Bernalillo Active 01/31/2000 09/30/2013 6670 Edgewood NW Albuquerque NM 87107 Bernalillo Active 09/30/1994 09/30/2013 6209 Christy Ave. NE Albuquerque NM 87109 Bernalillo Expired 12/31/2003 09/30/2009 6209 Christy Avenue NE Albuquerque NM 87109 Bernalillo Active 04/27/2004 09/30/2013 2990 N. Main Suite 3-A Las Cruces NM 88001 9601 Tanoan Dr. NE Albuquerque NM 87111 Dona Ana Active 11/30/1994 09/30/2013 Bernalillo Expired 03/14/2006 09/30/2009 153 East Lupita Unit D Santa Fe NM 87505 Santa Fe Active 10/29/2012 09/30/2014 153 East Lupita Unit D Santa Fe NM 87505 Santa Fe Active 10/29/2012 09/30/2014 1901 Alabama Silver City NM 88061 Grant Active 08/30/1994 09/30/2013 82 Spirit Valley Santa Fe NM 87508 Santa Fe Active 08/30/1994 09/30/2013 Page 242 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0098191 Cristin Elizabeth Ponder 0849 Licensed Mental Health Counselor Lou Delle F. Pongetti 0146731 Clinical Mental Health Counselor (LPCC) Jeff W. Pontes 3966 Licensed Mental Health Counselor Sharon L. Popkin 0151471 Alcohol and Drug Counselor Maria A. Porinchak 0143791 Clinical Mental Health Counselor (LPCC) Angela M. Porter 0133751 Licensed Mental Health Counselor Ruben Porter 0131321 Alcohol and Drug Counselor Susan D. Porterfield 0148051 Licensed Mental Health Counselor Melissa Ann Portillos 0131781 Temporary License Carrie Lynn Ports 0090361 Marriage and Family Therapist Linda K Potere 0131611 Alcohol and Drug Counselor Gretchen A. Potter 0093631 Licensed Mental Health Counselor Kathleen Marie Potter 0152351 Licensed Mental Health Counselor Bryan E Pottratz 0101621 Licensed Mental Health Counselor Margarita Silva Potts Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4233 Mackland Ave. NE Albuquerque NM 87110 Bernalillo Active 11/13/2006 09/30/2013 9128 La Costa Drive NE Albuquerque NM 87111 Bernalillo Active 06/30/1994 09/30/2013 2617 Charleston NE Albuquerque NM 87110 Bernalillo Active 01/26/2012 09/30/2013 P.O. Box 2012 Truth or Consequences NM 87901 Sierra Active 03/31/1997 09/30/2014 209 Girard Blvd. SE, No. 8 Albuquerque NM 87106 Bernalillo Active 07/10/2012 09/30/2013 1441 Bellrose Ave. NW Albuquerque NM 87107 Bernalillo Active 10/05/2011 09/30/2013 405 Palomas Drive NE Albuquerque NM 87108 Bernalillo Active 07/26/2010 09/30/2013 2710 Burton Ave. SE Albuquerque NM 87106 Bernalillo Active 04/12/2010 09/30/2013 3245 E. University Ave., Apt. 408 Las Cruces NM 88011 Dona Ana Active 03/20/2012 03/31/2013 5721 Rio Oso Road NE Rio Rancho NM 87144 Sandoval Active 05/05/2010 09/30/2013 8920 Equus Circle Boynton Beach FL 33472 Palm Beach Active 02/22/2006 09/30/2013 801 Hacienda Ln. #7 Bloomfield NM 87413 San Juan Active 04/28/2010 09/30/2013 1225 Calle La Mirada Santa Fe NM 87507 Santa Fe Active 06/20/2006 09/30/2013 P.O. Box 1871 Silver City NM 88062 Grant Active 08/17/2012 09/30/2013 P.O. Box 1027 Bayard NM 88023 Grant Active 03/06/2007 09/30/2014 Page 243 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0118981 Tanya Potts 0137771 Licensed Mental Health Counselor Lisa Michelle Powell 0150181 Art Therapist Lisa Michelle Powell 0085611 Clinical Mental Health Counselor (LPCC) Stephen Powell 0149291 Licensed Mental Health Counselor Stephen Powell 0155541 Temporary License Gregory A. Powers 0127431 Substance Abuse Associate Carole Ann Pozzi 0122761 Marriage and Family Therapist Blossom L. Pradt 0063141 Alcohol and Drug Counselor Kathy E. Prater 0092511 Substance Abuse Associate Christina Marie Prather-Skinner 0125261 Clinical Mental Health Counselor (LPCC) Roxanne Davis Pratt 0097441 Clinical Mental Health Counselor (LPCC) Sandra K. Pratt 4857 Marriage and Family Therapist Roger Thomas Pray 0147321 Clinical Mental Health Counselor (LPCC) Corina H. Preciado 0155901 Temporary License Corina H. Preciado Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4231 Sunningdale Ave NE Albuquerque NM 87110 Bernalillo Active 12/29/2008 09/30/2014 6001 Moon St. NE #723 Albuquerque NM 87111 Bernalillo Active 02/03/2011 09/30/2014 6001 Moon St. NE #723 Albuquerque NM 87111 Bernalillo Active 05/24/2012 09/30/2013 County Rd 12 # 40 Espanola NM 87532 Rio Arriba Active 09/02/2005 09/30/2014 County Rd 12 # 40 Espanola NM 87532 Rio Arriba Active 04/17/2012 11/30/2012 406 Durazno St. Tularosa NM 88352 Otero Active 12/10/2012 09/30/2014 P.O. Box 1771 Taos NM 87571 Taos Active 11/06/2009 09/30/2013 P.O. Box 505 New Laguna NM 87038 Cibola Active 05/11/2009 09/30/2013 P.O. Box 3813 Espanola NM 87533 Rio Arriba Active 03/31/2002 09/30/2014 504 Harrier Hawk Edmond OK 73003 Oklahoma Expired 05/02/2006 09/30/2009 2501 San Pedro Dr NE Ste 102 Albuquerque NM 87110 Bernalillo Active 08/14/2009 09/30/2013 785 Pine River Ranch Circle Bayfield CO 81122 La Plata Retired 10/16/2006 09/30/2009 10200 Propps Drive NE Albuquerque NM 87112 Bernalillo Expired 01/31/1999 09/30/2009 PO Box 912 Santa Teresa NM 88008 Dona Ana Null and Void 02/15/2012 12/31/2012 PO Box 912 Santa Teresa NM 88008 Dona Ana Active 12/26/2012 10/31/2013 Page 244 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0119 Marge A. Prefontaine 0154531 Clinical Mental Health Counselor (LPCC) Presbyterian Medical Services 2303 CEU Provider Certificate Betty P. Pressley 0155711 Professional Mental Health Counselor Marie A. Previti 0102 Substance Abuse Associate Donna E. Price 0063731 Clinical Mental Health Counselor (LPCC) Kathy J. Price 0116261 Licensed Mental Health Counselor Mink Genereux Price 0141621 Licensed Mental Health Counselor Mink Genereux Price 0142461 Clinical Mental Health Counselor (LPCC) Reba Price 0064701 Clinical Mental Health Counselor (LPCC) Stephen C. Price 0130791 Alcohol and Drug Counselor Celestina Prieto 0065942 Substance Abuse Associate Debra J. Prince 0133011 Clinical Mental Health Counselor (LPCC) Georgia Ann Pringle 0148311 Substance Abuse Associate Georgia Ann Pringle 0086791 Temporary License Peter Procopio Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8505 San Diego Ct. NE Albuquerque NM 87122 Bernalillo Active 06/30/1994 09/30/2013 184 Unser NE Rio Rancho NM 87124 Sandoval Active 10/29/2012 09/30/2013 2105 Belair Road Clovis NM 88101 Curry Expired 03/31/1995 09/30/2001 419 Hatchery Rd. Taos NM 87571 Taos Active 12/18/2012 09/30/2014 3496 Harvard Drive Carson City NV 89703 Carson City Expired 04/30/1964 09/30/2000 3834 La Plaza Drive NW Albuquerque NM 87107 Bernalillo Active 06/30/2002 09/30/2013 170 Big Sky Avenue Los Lunas NM 87031 Valencia Null and Void 08/22/2008 09/30/2012 170 Big Sky Avenue Los Lunas NM 87031 Valencia Active 07/15/2011 09/30/2014 P.O. Box 19096 Albuquerque NM 87119 Bernalillo Active 08/16/2011 09/30/2014 9365 N. Red Fox Lane Tucson AZ 85742 Pima Retired 11/30/2002 09/30/2009 199 E Darby Dexter NM 88230 Chaves Active 03/29/2010 09/30/2013 P.O. Box 568 Roswell NM 88202 Chaves Active 02/28/2003 09/30/2014 711 Maple Clayton NM 88415 Union Active 06/21/2010 09/30/2013 711 Maple Clayton NM 88415 Union Active 03/22/2012 03/31/2013 P.O. Box 441 Gallup NM 87305 McKinley Active 09/28/2005 09/30/2014 Page 245 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154521 Project ECHO 0143361 CEU Provider Certificate Domitila Prospero 4258 Substance Abuse Associate Elizabeth Prothro 0529 Clinical Mental Health Counselor (LPCC) Jeanne L. Provencio 3920 Clinical Mental Health Counselor (LPCC) Joseph A. Provencio 0083591 Alcohol and Drug Counselor Karen N. Provine 0089311 Clinical Mental Health Counselor (LPCC) Rhonda L. Pruit 0129901 Licensed Mental Health Counselor Rhonda L. Pruit 0098611 Clinical Mental Health Counselor (LPCC) Psychosocial Rehabilitation Association of New Mexico CEU Provider Certificate Beatriz L. Pujol 0001 Professional Mental Health Counselor Inderjit (Bibiji) Puri 0008 Clinical Mental Health Counselor (LPCC) Inderjit (Bibiji) Puri 0139431 Marriage and Family Therapist Roslyn Kate Pursley 2627 Licensed Mental Health Counselor Louisa B. Putnam 0103311 Clinical Mental Health Counselor (LPCC) Denise M. Pyle-Ortiz 0124111 Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1001 Medical Arts Ave. Albuquerque NM 87102 Bernalillo Active 10/29/2012 09/30/2013 136 Diamondback Chaparral NM 88081 Dona Ana Active 09/19/2011 09/30/2013 36 Camino Loma Seco Lamy NM 87540 Santa Fe Active 05/31/1998 09/30/2014 920 Meador Dr. Las Cruces NM 88007 Dona Ana Active 06/30/1994 09/30/2013 1925 Chateau Las Cruces NM 88005 Dona Ana Active 01/31/1997 09/30/2014 6145 Agate Ave. NW Albuquerque NM 87120 Bernalillo Active 07/05/2005 09/30/2014 6205 Antigua St., Apt. G Albuquerque NM 87111 Bernalillo Expired 01/19/2006 09/30/2009 6205 Antigua St., Apt. G Albuquerque NM 87111 Bernalillo Active 02/19/2010 09/30/2013 3608 Britt St. NE Albuquerque NM 87111 Bernalillo Active 07/07/2009 09/30/2013 1328 Elm Street Denver CO 80220 Denver Active 11/29/2006 09/30/2013 407 Hermosa Dr. SE Albuquerque NM 87108 Bernalillo Active 04/30/1994 09/30/2013 407 Hermosa Dr. SE Albuquerque NM 87108 Bernalillo Active 05/31/1994 09/30/2014 1400 E. Roosevelt #4 Grants NM 87020 Cibola Active 04/18/2011 09/30/2014 2930 Fuego Sagrado Santa Fe NM 87505 Santa Fe Active 10/31/1994 09/30/2013 7535 Northridge Ave. NE Albuquerque NM 87109 Bernalillo Active 05/01/2007 09/30/2014 Page 246 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154971 Russell Pyle 0108971 Licensed Mental Health Counselor Charlene Elizabeth Pyskoty 4443 Clinical Mental Health Counselor (LPCC) Delbert M. Quam 2631 Substance Abuse Associate Ellen M. Quigley 0148991 Licensed Mental Health Counselor Patricia E. Quin 0148441 Licensed Mental Health Counselor Cindy D. Quinn 0121761 Temporary License Priscilla S. Quinones 0137931 Substance Abuse Associate Arthur J. Quintana 0110111 Substance Abuse Associate Elizaida Sally Quintana 2693 Substance Abuse Associate Herlinda Quintana 0141601 Professional Mental Health Counselor Lavette Quintana 0103031 Alcohol and Drug Counselor William W. Raabe 0076941 Alcohol and Drug Counselor Jon E. Rabka 0099371 Clinical Mental Health Counselor (LPCC) Jon E. Rabka 0146461 Alcohol and Drug Counselor Julie M. Raborn Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2108 New York Ave. SW Albuquerque NM 87104 Bernalillo Active 11/20/2012 09/30/2014 2 Gastineau Country Ln Tijeras NM 87059 Bernalillo Active 11/08/2007 09/30/2013 P.O. Box 199 Zuni NM 87327 McKinley Active 07/31/1999 09/30/2013 4 Pueblo Road Placitas NM 87043 Sandoval Active 01/31/1995 09/30/2013 1753 A 39th St. Los Alamos NM 87544 Los Alamos Active 04/10/2012 09/30/2013 604 Gianera Ave. Socorro NM 87801 Socorro Active 03/28/2012 03/31/2013 3848 Mondale Lp. Las Cruces NM 88005 Dona Ana Active 03/18/2009 09/30/2014 800 Bard St. Bayard NM 88023 Grant Active 02/14/2011 09/30/2014 P.O. Box 497 Santa Cruz NM 87567 Santa Fe Expired 12/20/2007 09/30/2009 4416 Rio Colorado Rd. NW Albuquerque NM 87120 Bernalillo Active 10/31/1994 09/30/2013 404 N. Frontier St. Bloomfield NM 87413 San Juan Active 07/15/2011 09/30/2014 1714 Rose Lane Hobbs NM 88240 Lea Active 04/20/2007 09/30/2014 3505 Calle Cuervo NW Apt. #338 Albuquerque NM 87114 Bernalillo Active 10/26/2004 09/30/2013 3505 Calle Cuervo NW Apt. #338 Albuquerque NM 87114 Bernalillo Expired 12/21/2006 09/30/2009 1713 35th St. Rio Rancho NM 87124 Sandoval Active 01/19/2012 09/30/2013 Page 247 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4319 Ann E. Rader-Tate 0128061 Clinical Mental Health Counselor (LPCC) Gloria Ann Radoslovich 0101541 Clinical Mental Health Counselor (LPCC) Elly J. Rael 3520 Clinical Mental Health Counselor (LPCC) Gabriel I. Rael 0134861 Licensed Mental Health Counselor Shasta Skyler Rael 0082181 Clinical Mental Health Counselor (LPCC) Megan Aileen Rafferty 0140561 Clinical Mental Health Counselor (LPCC) Rhonda L. Rain 0137951 Clinical Mental Health Counselor (LPCC) Tahlia H Rainbolt 0102471 Clinical Mental Health Counselor (LPCC) Krista Leigh Rainwater 0146781 Clinical Mental Health Counselor (LPCC) Ralph M. Steele 0131181 CEU Provider Certificate Alma R. Ramirez-Gonzales 0149241 Alcohol and Drug Counselor Alma R. Ramirez-Gonzales 0146441 Temporary License Jill Jaime Ramirez-Williamson 0064111 Licensed Mental Health Counselor Angela J. Ramirez 0111441 Substance Abuse Associate Chris Ramirez Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 7 Condesa Road Santa Fe NM 87508 Santa Fe Retired 05/31/1998 09/30/2009 3105 Carlota Rd. NW Albuquerque NM 87104 Bernalillo Active 12/11/2009 09/30/2013 8620 Silk Tassel RD. NW Albuquerque NM 87120 Bernalillo Active 03/01/2007 09/30/2014 2617 Barcelona RD SW Albuquerque NM 87105 Bernalillo Active 01/31/1997 09/30/2014 2109 W Cherry St Portales NM 88130 Roosevelt Active 09/13/2010 09/30/2014 1564 Trujillo Rd. SW Albuquerque NM 87105 Bernalillo Active 06/01/2005 09/30/2014 209 La Vida Nueva Del Oeste SW Albuquerque NM 87105 2356 Brother Abdon Way Santa Fe NM 87505 Bernalillo Active 06/08/2011 09/30/2014 Santa Fe Active 02/16/2011 09/30/2014 1301 E. Navajo 1104 Farmington NM 87401 San Juan Active 04/03/2007 09/30/2014 PO Box 9286 Santa Fe NM 87504 Santa Fe Active 01/26/2012 09/30/2013 1228 Marquez Street Grants NM 87020 Cibola Active 04/08/2010 09/30/2013 1228 Marquez Street Grants NM 87020 Cibola Null and Void 04/17/2012 11/30/2012 6309 Gwin Rd. SW Albuquerque NM 87121 Bernalillo Active 01/19/2012 09/30/2013 230 South Bosque Loop Bosque Farms NM 87068 Valencia Active 09/30/2002 09/30/2013 9276 McFall Dr. El Paso TX 79925 El Paso Active 02/19/2008 09/30/2014 Page 248 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0125901 Daisy Maria Ramirez 0152711 Licensed Mental Health Counselor Desiree Renae Ramirez 0113911 Alcohol and Drug Counselor Emilia Janine Ramirez 0148131 Licensed Mental Health Counselor Emilia Janine Ramirez 0141641 Clinical Mental Health Counselor (LPCC) Fidel Ramirez 0143721 Licensed Mental Health Counselor Jennifer Marie Ramirez 0149421 Temporary License Jennifer Marie Ramirez 0152911 Temporary License Jennifer Marie Ramirez 0124201 Temporary License Divina M. Ramos 005474 Clinical Mental Health Counselor (LPCC) Sarbat Ramos 0084961 Alcohol and Drug Counselor Sarbat Ramos 0104591 Clinical Mental Health Counselor (LPCC) Jean L. Ramsey 0097581 Clinical Mental Health Counselor (LPCC) Lauren Jane Ramsey 0062181 Licensed Mental Health Counselor Lynn C. Ramsey 1611 Licensed Mental Health Counselor Miriam M. Rand Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10833 Aquamarine El Paso TX 79924 El Paso Active 09/11/2009 09/30/2013 P.O. Box 51 Springer NM 87747 Colfax Active 08/24/2012 09/30/2013 6231 Nacional RD NW Albuquerque NM 87114 Bernalillo Upgraded 05/22/2008 09/30/2012 6231 Nacional RD NW Albuquerque NM 87114 Bernalillo Active 03/21/2012 09/30/2013 1620 Silver Avenue SE Albuquerque NM 87106 Bernalillo Active 07/18/2011 09/30/2014 144 Oklahoma Drive Portales NM 88130 Roosevelt Null and Void 09/30/2011 04/30/2012 144 Oklahoma Drive Portales NM 88130 Roosevelt Null and Void 04/23/2012 11/30/2012 144 Oklahoma Drive Portales NM 88130 Roosevelt Active 08/29/2012 03/31/2013 1209 N Willow Las Cruces NM 88001 Dona Ana Active 07/08/2009 09/30/2013 1736 Evergreen SW Albuquerque NM 87105 Bernalillo Active 07/31/2000 09/30/2014 1736 Evergreen SW Albuquerque NM 87105 Bernalillo Active 08/16/2005 09/30/2014 6001 Moon Street NE Apt. 533 Albuquerque NM 87111 Bernalillo Active 06/15/2007 09/30/2014 1817 Pitt Street NE Albuquerque NM 87112 Bernalillo Expired 10/24/2006 09/30/2009 3401 Delano Ave NE Albuquerque NM 87106 Bernalillo Active 05/31/2002 09/30/2013 P.O. Box 7990 Albuquerque NM 87194-7990 Bernalillo Active 07/31/1994 09/30/2013 Page 249 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0151651 Susie Rand 0155861 Clinical Mental Health Counselor (LPCC) Erica Mae Randolph 0093571 Clinical Mental Health Counselor (LPCC) Cynthia G. Rank-Ballas 0120631 Clinical Mental Health Counselor (LPCC) Kristin Michelle Rankin 0128761 Licensed Mental Health Counselor Lon K. Rankin 005664 Clinical Mental Health Counselor (LPCC) Richard D. Ransley 0128511 Clinical Mental Health Counselor (LPCC) Claudia A Raphael 2650 Art Therapist Robert E. Rapp 0155091 Clinical Mental Health Counselor (LPCC) Mary C. Raske 2686 Temporary License Martin Rasmussen 0152451 Clinical Mental Health Counselor (LPCC) Samantha M. Rasmussen 0144871 Temporary License Stephen E. Ratcliff 2700 Clinical Mental Health Counselor (LPCC) Rebecca Ratekin 0130061 Marriage and Family Therapist Emma Farr Rawlings 0100911 Marriage and Family Therapist Larry Alan Rayburn Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 323 E. Hervey Roswell NM 88203 Chaves Active 07/23/2012 09/30/2013 P.O. Box 933 Silver City NM 88062 Grant Active 12/24/2012 09/30/2014 18 Bosque Azul Santa Fe NM 87507 Santa Fe Active 06/16/2006 09/30/2013 5722 Organ Peak Dr. Las Cruces NM 88012 Dona Ana Active 02/19/2009 09/30/2014 903 W. Alameda St. #742 Santa Fe NM 87501 Santa Fe Active 01/13/2010 09/30/2013 342 W. Zia Road Santa Fe NM 87505 Santa Fe Active 12/31/2000 09/30/2014 31 Bosque Loop Santa Fe NM 87508 Santa Fe Active 01/06/2010 09/30/2013 6850 E. Topke St. Tucson AZ 85715 Pima Retired 09/30/1994 09/30/2008 1022 N. Main Street Carlsbad NM 88220 Eddy Active 11/27/2012 06/30/2013 12016 Prospect Ave. N.E. Albuquerque NM 87112 Bernalillo Active 09/30/1994 09/30/2014 700 Eubank Blvd. SE #911 Albuquerque NM 87123 Bernalillo Active 08/21/2012 03/31/2013 P.O. Box 4348 Gallup NM 87305 McKinley Active 11/14/2011 09/30/2013 P.O. Box 312 Weimar CA 95736 Placer Active 07/11/1995 09/30/2013 P.O. Box 541 Tiburon CA 94920 Marin Active 02/25/2010 09/30/2013 1411 Santa Cruz Drive Santa Fe NM 87505 Santa Fe Active 02/12/2007 09/30/2014 Page 250 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0509 Anna Rayne-Levi 0850 Clinical Mental Health Counselor (LPCC) Lin A. Reams 0155501 Clinical Mental Health Counselor (LPCC) Rebecca Skeele, LPCC 4419 CEU Provider Certificate Guy Thomas Red Owl 0149961 Alcohol and Drug Counselor Franki L. Reddick-Gibson 0851 Clinical Mental Health Counselor (LPCC) Sondra M. Redwood 3591 Clinical Mental Health Counselor (LPCC) Sondra M. Redwood 1247 Alcohol and Drug Counselor Bea F. Reed 0121961 Clinical Mental Health Counselor (LPCC) Joel Sanders Reed 0091311 Licensed Mental Health Counselor Kenneth E. Reed 4369 Clinical Mental Health Counselor (LPCC) James Brian Reeves 3676 Clinical Mental Health Counselor (LPCC) Carl J. Regensberg 0088381 Alcohol and Drug Counselor Robyn R. Rehbein 0099641 Clinical Mental Health Counselor (LPCC) Kenneth M. Reid 1864 Professional Mental Health Counselor Caer B. Reider Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 306 Vera Drive Santa Fe NM 87501 Santa Fe Active 06/30/1994 09/30/2013 4162 Midnight Owl Santa Fe NM 87507 Santa Fe Active 07/31/1994 09/30/2014 339 Plaza Balentine Santa Fe NM 87501 Santa Fe Active 12/07/2012 09/30/2013 P.O. Box 349 El Prado NM 87529 Taos Expired 01/31/1999 09/30/2009 6426 E. Kelmore Rd. Prescott Valley AZ 86314 Yavapai Active 05/17/2012 09/30/2013 6501 Wyoming NE, C-12 Albuquerque NM 87109 Bernalillo Active 07/31/1994 09/30/2013 6501 Wyoming NE, C-12 Albuquerque NM 87109 Bernalillo Active 03/31/1997 09/30/2013 33 Vista De Oro Placitas NM 87043 Sandoval Active 12/31/1994 09/30/2013 9209 Menaul NE Albuquerque NM 87112 Bernalillo Active 03/27/2009 09/30/2013 P.O. Box 1796 Eunice NM 88231 Lea Active 03/20/2006 09/30/2013 1410 W. 6th St. Apt. 4 Silver City NM 88061 2701 Cocono Cir. SW Albuquerque NM 87105 Grant Active 05/31/1998 09/30/2013 Bernalillo Active 06/30/1997 09/30/2014 4068 Winters Street Las Cruces NM 88005 Dona Ana Active 12/13/2005 09/30/2014 658 Cumbre Vista Santa Fe NM 87501 Santa Fe Active 01/03/2007 09/30/2013 369 Montezuma Ste. 178 Santa Fe NM 87501 Santa Fe Active 09/30/1994 09/30/2014 Page 251 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy General Address County License Status Issue Date Expiration Date 609 N. Jordan Bloomfield NM 87413 San Juan Active 11/30/1999 09/30/2013 98 Shady Oak Circle Bernalillo Active Tijeras NM 87059 1513 Sierra Norte LP NE Rio Rancho NM 87144 03/31/1997 09/30/2014 Sandoval Active 04/26/2004 09/30/2013 1513 Sierra Norte LP NE Rio Rancho NM 87144 Sandoval Active 12/24/2012 07/31/2013 3 Alcalde Road Santa Fe NM 87505 Santa Fe Active 04/30/1997 09/30/2014 P.O. Box 807 Tesuque NM 87574 Santa Fe Active 01/31/1995 09/30/2013 235 Chimney Rock Houston TX 77024 Harris Active 02/01/2011 09/30/2014 P.O. Box 50660 Amarillo TX 79159 Potter Active 06/30/1994 09/30/2014 4200 Packaway Rd. NW Albuquerque NM 87114 Bernalillo Active 08/29/2012 09/30/2013 1008 Madison NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2013 405 Sosaya Lane Santa Fe NM 87505 Santa Fe Active 10/20/2008 09/30/2014 5413 Gold Rush Drive NW Albuquerque NM 87120 Bernalillo Active 07/31/1994 09/30/2013 900 Myrtle Ave. Apt. 1118 El Paso TX 79901 El Paso Active 12/14/2012 07/31/2013 209 Ristra Road Mesquite NM 88048 Dona Ana Active 03/20/2007 09/30/2007 209 Ristra Road Mesquite NM 88048 Dona Ana Active 03/20/2007 09/30/2007 License No. Licensee Name License Type 3489 Stella J. Reider 3652 Professional Mental Health Counselor Matthew J. Reilly 0072641 Alcohol and Drug Counselor Rodney L. Reinhardt 0155841 Professional Mental Health Counselor Rodney L. Reinhardt 3264 Temporary License Carol C. Reinhart 2021 Clinical Mental Health Counselor (LPCC) Monika M. Relph-Wikman 0137731 Clinical Mental Health Counselor (LPCC) Virginia C. Renfroe 1106 Clinical Mental Health Counselor (LPCC) Kaye L. Renshaw 0152791 Professional Mental Health Counselor Mandy Jo Renteria 0738 Licensed Mental Health Counselor Russell L. Resnik 0117651 Clinical Mental Health Counselor (LPCC) Phillip L Retzky 1737 Licensed Mental Health Counselor Martha L. Reuter 0155621 Clinical Mental Health Counselor (LPCC) Fernando Reyes 0102011 Temporary License Miguel Reyes 0102051 Temporary License Miguel Reyes Temporary License Printed: 01/15/2013 Page 252 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0087741 Omar Reyes 0114001 Professional Mental Health Counselor Sally A. Reynal 0099581 Alcohol and Drug Counselor Merrie Kate Reynolds 0145761 Clinical Mental Health Counselor (LPCC) Ana L Reza 0110011 Temporary License Chad E. Reznicek 0073911 Clinical Mental Health Counselor (LPCC) Johanna Christine Reznicek 0075991 Clinical Mental Health Counselor (LPCC) Armando Rhoades 0148121 Clinical Mental Health Counselor (LPCC) Caitlin D. Rhoades 0119231 Clinical Mental Health Counselor (LPCC) Rhoda Bubar for Rio Rancho Public Schools 0110101 CEU Provider Certificate Jess Lynn Rhodes 0154501 Clinical Mental Health Counselor (LPCC) Rhonda R. Gutierrez 0150911 CEU Provider Certificate Carol Sue Rice 0154181 Art Therapist Carol Sue Rice 0088161 Clinical Mental Health Counselor (LPCC) John L. Rich 0154511 Clinical Mental Health Counselor (LPCC) Richard Wilson CEU Provider Certificate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5800 Ediuburgh Santa Teresa NM 88008 Dona Ana Active 11/07/2005 09/30/2014 463 C. R. 121 Hesperus CO 81326 La Plata Active 05/27/2008 09/30/2014 2312 Cedros Circle Santa Fe NM 87505 Santa Fe Active 01/03/2007 09/30/2014 11025 Thatcher Pond El Paso TX 79934 El Paso Active 12/22/2011 07/31/2012 162 New Mexico Highway 94 Sapello NM 87745 San Miguel Active 12/18/2007 09/30/2013 162 New Mexico Highway 94 Sapello NM 87745 San Miguel Active 06/07/2004 09/30/2013 1306 Iowa Avenue Alamogordo NM 88310 Otero Active 09/20/2004 09/30/2013 10 C Soleado Ln. Santa Fe NM 87508 Santa Fe Active 03/21/2012 09/30/2013 RRHS 301 Loma Colorado Albuquerque NM 87120 Bernalillo Active 01/06/2009 09/30/2013 5012 Heno Mine Rd Las Cruces NM 88011 Dona Ana Expired 12/20/2007 09/30/2009 PO Box 300 Santa Rosa NM 88435 Guadalupe Active 10/29/2012 09/30/2013 PO BOX 1556 Belen NM 87002 Valencia Active 06/20/2012 09/30/2013 PO BOX 1556 Belen NM 87002 Valencia Active 10/16/2012 09/30/2014 P.O. Box 151 21074 Hwy 84 Abiquiu NM 87510 61 Herrada Rd. Santa Fe NM 87508 Rio Arriba Active 12/08/2005 09/30/2014 Santa Fe Active 10/29/2012 09/30/2013 Page 253 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0115281 Marika Jean Richards 0112851 Clinical Mental Health Counselor (LPCC) Michael Richards 0148191 Clinical Mental Health Counselor (LPCC) Teri J. Richards 0153981 Temporary License Teri J. Richards 2020 Temporary License Rebecca R. Richardson 005472 Clinical Mental Health Counselor (LPCC) Sherry L. Richardson 0110971 Alcohol and Drug Counselor Sherry L. Richardson 006139 Clinical Mental Health Counselor (LPCC) Tina K. Richardson 0104851 Clinical Mental Health Counselor (LPCC) Sherry Richarson 0131571 Temporary License Kelli J. Richerson 0088841 Licensed Mental Health Counselor Kristan Joan Richey 0087411 Clinical Mental Health Counselor (LPCC) Carol Richmond 0126131 Clinical Mental Health Counselor (LPCC) Laura Theresa Richter 2695 Clinical Mental Health Counselor (LPCC) Patricia G. Rickey 0154621 Professional Mental Health Counselor Patricia G. Rickey Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1421 Kinnikinnick Street Anchorage AK 99508 Anchorage Retired 07/15/2008 09/30/2012 2450 Virginia Ave NW E 317 Washington DC 20037 District of Columbia Active 04/11/2008 09/30/2014 518 Old Santa Fe Trail, Suite 1, #603 Santa Fe NM 87505 Santa Fe Null and Void 03/21/2012 10/31/2012 518 Old Santa Fe Trail, Suite 1, #603 Santa Fe NM 87505 Santa Fe Active 10/09/2012 05/31/2013 3409 Pickard Ave., NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 5085 Meadow Circle Las Cruces NM 88007 Dona Ana Active 07/31/2001 09/30/2014 5085 Meadow Circle Las Cruces NM 88007 Dona Ana Active 01/31/2008 09/30/2014 2320 Santo Domingo Avenue Las Cruces NM 88011 Dona Ana Active 05/31/2002 09/30/2013 1175 Lujan Hill Rd Las Cruces NM 88007 Dona Ana Active 06/25/2007 01/31/2008 3169 S. Roosevelt Rd. 8 Floyd NM 88118 Roosevelt Active 04/23/2010 09/30/2013 4280 Taurus Drive Las Cruces NM 88005 Dona Ana Active 12/29/2005 09/30/2014 125 E. Ella Dr. Corrales NM 87048 Sandoval Active 10/21/2005 09/30/2014 1800 Valdez Dr. NE Albuquerque NM 87112 Bernalillo Active 09/16/2009 09/30/2013 215 Riverview Drive Durango CO 81301 La Plata Active 07/31/1994 09/30/2013 215 Riverview Drive Durango CO 81301 La Plata Active 11/01/2012 09/30/2014 Page 254 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0131061 Cathy L. Rico 005675 Licensed Mental Health Counselor Michael J. Ridder 0078461 Clinical Mental Health Counselor (LPCC) Anne P. Ridley 0121221 Professional Mental Health Counselor David L. Riedesel 0127221 Alcohol and Drug Counselor David L. Riedesel 0150681 Licensed Mental Health Counselor Alana N. Rieker 0145661 Substance Abuse Associate Sarah E. Rieland 3409 Licensed Mental Health Counselor Jeanne Rigaud 0664 Alcohol and Drug Counselor Darlene J. Riggins 0149501 Clinical Mental Health Counselor (LPCC) Neil P. Rigsbee 1047 Clinical Mental Health Counselor (LPCC) Bradley H. Rikel 0147231 Clinical Mental Health Counselor (LPCC) Dawn R. Riley 0131291 Clinical Mental Health Counselor (LPCC) Shawna L. Riley 0154441 Substance Abuse Associate Shawna L. Riley 4845 Alcohol and Drug Counselor Susan Jane Riley Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date #12 Mithcell Rd. Socorro NM 87801 Socorro Active 04/06/2010 09/30/2013 4921 Royene Ave. NE Albuquerque NM 87110 Bernalillo Active 03/31/2001 09/30/2013 1600 Lena St. Building C, Suite 9 Santa Fe NM 87505 4612 Osuna Ct. NE Albuquerque NM 87109-2825 Santa Fe Active 01/12/2005 09/30/2014 Bernalillo Active 03/05/2009 09/30/2013 4612 Osuna Ct. NE Albuquerque NM 87109-2825 Bernalillo Active 10/29/2009 09/30/2013 704 Zuni Drive Farmington NM 87401 San Juan Active 06/12/2012 09/30/2013 10700 Habanero Way SE Albuquerque NM 87123 Bernalillo Active 12/21/2011 09/30/2013 1014 Don Diego Santa Fe NM 87505 Santa Fe Retired 01/31/1997 09/30/2009 PO Box 3307 Idyllwild CA 92549 Riverside Active 07/31/1994 09/30/2014 3901 Indian School Rd. NE, Apt. D111 Albuquerque NM 87110 Bernalillo Active 04/24/2012 09/30/2013 416 Adkins Ct. Clovis NM 88101 Curry Active 01/03/1997 09/30/2013 221 South 8th Street Santa Rosa NM 88435 Guadalupe Active 02/15/2012 09/30/2013 PO Box 3472 Farmington NM 87499 San Juan Active 04/12/2010 09/30/2013 PO Box 3472 Farmington NM 87499 San Juan Active 10/29/2012 09/30/2014 14 Melado Drive Santa Fe NM 87508 Santa Fe Active 05/14/1999 09/30/2013 Page 255 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1616 John R. Rinaldi 2965 Clinical Mental Health Counselor (LPCC) Louis Bennet Ringe 005665 Clinical Mental Health Counselor (LPCC) Mary L. Ringer 0129471 Clinical Mental Health Counselor (LPCC) Patricia A. Ringold 3126 Clinical Mental Health Counselor (LPCC) Rio Grande Alcoholism Treatment Program, Inc. CEU Provider Certificate Cynthia S. Rios 0143801 Clinical Mental Health Counselor (LPCC) Elizabeth Birchmore Riss 0103691 Clinical Mental Health Counselor (LPCC) Edward Risser 5037 Clinical Mental Health Counselor (LPCC) Carolyn K. Ritchey 0128131 Substance Abuse Associate Miriam V. Rivas 0151501 Clinical Mental Health Counselor (LPCC) Nicole M. Rivera-Brastad 3730 Temporary License Alejandro J. Rivera 0148361 Alcohol and Drug Counselor Anthony Rivera 0129451 Substance Abuse Associate Dolores Rivera 0147781 Alcohol and Drug Counselor Erica Rivera 0139051 Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 847 Bernalillo NM 87004 Sandoval Active 06/30/1995 09/30/2014 2317 Old Arroyo Chamiso Santa Fe NM 87505 Santa Fe Active 02/15/1995 09/30/2013 1111 Park Place # 9 Las Vegas NM 87701 San Miguel Active 12/31/2000 09/30/2013 835 Columbia Street Santa Fe NM 87505 Santa Fe Active 02/08/2010 09/30/2013 P.O. Box 310 Embudo NM 87531 Rio Arriba Active 03/31/2011 09/30/2013 7812 Morris Rippel Pl. NE Albuquerque NM 87122 Bernalillo Active 12/31/1997 09/30/2014 1300 Bryn Mawt Dr. NE Albuquerque NM 87106 Bernalillo Active 10/05/2011 09/30/2013 P.O. Box 3059 Las Cruces NM 88003 Dona Ana Active 05/16/2007 09/30/2014 900 W. Caprock Hobbs NM 88240 Lea Retired 07/31/1999 09/30/2009 299 Kinspoint Drive, # 54 El Paso TX 79912 El Paso Active 12/16/2009 09/30/2013 711 Windmill Drive Las Cruces NM 88011 Dona Ana Null and Void 07/13/2012 03/31/2013 31 Los Alamogordos Rd. Las Vegas NM 87701 San Miguel Active 03/31/1997 09/30/2014 525 Palomas Dr. SE #D Albuquerque NM 87108 Bernalillo Active 03/26/2012 09/30/2013 909 72nd St. NW Albuquerque NM 87121 Bernalillo Active 02/08/2010 09/30/2013 4725 G.T. Powers Dr. El Paso TX 79924 El Paso Active 03/09/2012 09/30/2013 Page 256 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2649 Margo J. Rivera 0135811 Clinical Mental Health Counselor (LPCC) Narciso Rivera 0139451 Licensed Mental Health Counselor Narciso Rivera 0155601 Alcohol and Drug Counselor Ivy Anna Rizzo 0082241 Clinical Mental Health Counselor (LPCC) Debra L. Roberson 0122121 Alcohol and Drug Counselor Debra L. Roberson 0150101 Licensed Mental Health Counselor Debra L. Roberson 0107071 Temporary License Hoyt E. Roberson 0089211 Marriage and Family Therapist Patti J Roberson 0073771 Substance Abuse Associate Robert C. Keenan 0083361 CEU Provider Certificate Robert D. Waterman 0091761 CEU Provider Certificate Robert L. Cathey 0117071 CEU Provider Certificate Robert Weisz, Ph.D. 0122301 CEU Provider Certificate Alison E. Roberts 0089111 Clinical Mental Health Counselor (LPCC) David Kerr Robertson Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1770 Alpine Ct. Bosque Farms NM 87068 Valencia Retired 09/30/1994 09/30/2009 5067 Emerald Street Las Cruces NM 88012 Dona Ana Active 10/27/2010 09/30/2014 5067 Emerald Street Las Cruces NM 88012 Dona Ana Active 04/18/2011 09/30/2014 5113 La Fiesta NE Albuquerque NM 87109 Bernalillo Active 12/13/2012 09/30/2014 411 Eissman Rd. Apt. #1 Leesville LA 71446 Vernon Active 06/01/2005 09/30/2014 411 Eissman Rd. Apt. #1 Leesville LA 71446 Vernon Active 04/01/2009 09/30/2013 411 Eissman Rd. Apt. #1 Leesville LA 71446 Vernon Null and Void 05/23/2012 12/31/2012 10101 Park Lane NW Albuquerque NM 87114 Bernalillo Active 08/29/2007 09/30/2014 P.O. Box 391 Hobbs NM 88241 Lea Expired 01/12/2006 09/30/2009 P.O. Box 6106 Gallup NM 87305 McKinley Expired 05/31/2004 09/30/2009 41 Verano Loop Santa Fe NM 87508 Santa Fe Active 07/01/2005 07/31/2013 340 Bristol Court Las Cruces NM 88001 Dona Ana Active 03/30/2006 09/30/2013 1800 Old Pecos Trail, Ste.B Santa Fe NM 87505-4787 Santa Fe Active 10/06/2008 09/30/2013 305 Lanier Drive SE Albuquerque NM 87123 Bernalillo Active 04/08/2009 09/30/2013 39 Priestly Place Corrales NM 87048 Sandoval Active 01/10/2006 09/30/2013 Page 257 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0149581 Gail A. Robertson 0139301 Licensed Mental Health Counselor Karen Ellen Robertson 0139601 Clinical Mental Health Counselor (LPCC) Rochelle K. Robertson 3498 Licensed Mental Health Counselor Barbara A. Robidoux 0134101 Alcohol and Drug Counselor Robin Sawyer 0111621 CEU Provider Certificate Robin Woolley 0144881 CEU Provider Certificate Barton Riley Robinson 0151981 Licensed Mental Health Counselor Charles Lee Robinson 0136311 Substance Abuse Associate Hannah R. Robinson 0129621 Licensed Mental Health Counselor Lu Ann Robinson 0102541 Licensed Mental Health Counselor Jennifer A. Rocca 0156081 Professional Mental Health Counselor Sally E Rochel 0154541 Licensed Mental Health Counselor Rochelle Young 0123501 CEU Provider Certificate Jodi Beth Rodgers 0089061 Licensed Mental Health Counselor Troy J. Rodgers Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 573 Horseshoe Tr. SE Albuquerque NM 87123 Bernalillo Active 04/26/2012 09/30/2013 1912 Spring Creek Drive Laramie WY 82070 Albany Active 04/11/2011 09/30/2014 12505 Tamarac Trl. NE Albuquerque NM 87111 Bernalillo Active 04/25/2011 09/30/2014 3144 Jemez Rd. Santa Fe NM 87507 Santa Fe Active 01/31/1997 09/30/2014 901 Palomas Dr NE Albuquerque NM 87108 Bernalillo Active 08/05/2010 09/30/2013 P.O. Box 162 Wagon Mound NM 87752 Mora Active 02/26/2008 09/30/2013 33 El Prado Dr. Edgewood NM 87015 Santa Fe Active 11/14/2011 09/30/2013 Rd. 5769 Sp. #41 Farmington NM 87401 San Juan Active 08/09/2012 09/30/2013 1972 Mulberry Avenue Las Cruces NM 88001 Dona Ana Active 11/19/2010 09/30/2014 1103 Matthew Avenue NW Albuquerque NM 87107 Bernalillo Active 02/11/2010 09/30/2013 16000 Bowdish Road Stockbridge MI 49285 Ingham Retired 04/11/2007 09/30/2012 200 Desert Pass, Apt. 222 El Paso TX 79912 El Paso Active 01/09/2013 09/30/2014 8906 Guadalupe Trail NW Albuquerque NM 87114 Bernalillo Active 10/29/2012 09/30/2013 2725 Camino Chueco Santa Fe NM 87505 Santa Fe Active 06/04/2009 09/30/2013 P.O. Box 92002 Albuquerque NM 87199 Bernalillo Active 01/06/2006 09/30/2013 Page 258 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2696 Carmen Rodrigo 0120871 Art Therapist Mary T. Rodrigues 0069751 Clinical Mental Health Counselor (LPCC) Aurora R. Rodriguez Cata 4516 Alcohol and Drug Counselor Carmen L Rodriguez 0128001 Licensed Mental Health Counselor Carmen L Rodriguez 0073291 Substance Abuse Associate Isaac Rodriguez 0146 Substance Abuse Associate Isabelle A. Rodriguez 0081881 Clinical Mental Health Counselor (LPCC) Jennifer M. Rodriguez 1736 Professional Mental Health Counselor Michelle M. Rodriguez 0134511 Clinical Mental Health Counselor (LPCC) Patricia Dolores Rodriguez 0064921 Clinical Mental Health Counselor (LPCC) Peter Rodriguez 5186 Substance Abuse Associate Susan Miles Rodriguez 0118901 Clinical Mental Health Counselor (LPCC) Valerie S. Rodriguez 0122321 Licensed Mental Health Counselor Mary Patricia Roemer 0102371 Licensed Mental Health Counselor Ashley A. Roethler Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4106 La Colorada Court SE Rio Rancho NM 87124-1118 Sandoval Active 11/30/1994 09/30/2014 Navajo Lodge HC - 32, Box 1 Continental Divide NM 87312 McKinley Active 02/25/2009 09/30/2013 8900 Thor Rd. SW Albuquerque NM 87121 Bernalillo Active 12/31/2003 09/30/2013 PO Box 545 Roswell NM 88202 Chaves Active 03/31/1998 09/30/2014 PO Box 545 Roswell NM 88202 Chaves Active 12/09/2009 09/30/2013 P.O. Box 206 Los Lunas NM 87031 Valencia Active 05/10/2004 09/30/2013 4425 Juan Tabo NE, Ste. 207 Albuquerque NM 87111 Bernalillo Active 04/30/1994 09/30/2014 5744 s. kittredge st. Centennial CO 80015 Arapahoe Active 05/18/2005 09/30/2014 12409 Morrow NE Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2014 HC 68, Box 15BB Sapello NM 87745 San Miguel Active 08/26/2010 09/30/2013 5117 La Subida St. NW Albuquerque NM 87105 Bernalillo Active 12/31/2002 09/30/2013 7480 SW 107th Ave. Unit 4-212 Miami FL 33173 9719 Gemstone Rd. SW Albuquerque NM 87121 Miami-Dade Active 06/30/2000 09/30/2014 Bernalillo Active 12/22/2008 09/30/2014 4270 River Song Lane Santa Fe NM 87507 Santa Fe Active 04/09/2009 09/30/2013 PO Box 2063 Los Lunas NM 87031 Valencia Active 03/28/2007 09/30/2014 Page 259 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0103821 Roger Aguiar 0902 CEU Provider Certificate Patricia L. Rogers-Dale 0154811 Clinical Mental Health Counselor (LPCC) Jennifer E. Rogers 2705 Temporary License Kate D. Rogers 2706 Clinical Mental Health Counselor (LPCC) Kate D. Rogers 0137111 Art Therapist Lisa E. Rogers 0129281 Clinical Mental Health Counselor (LPCC) Megan C. Rogers 0089251 Clinical Mental Health Counselor (LPCC) Pamela Anne Rogers 0151861 Clinical Mental Health Counselor (LPCC) Naomi S. Roibal 0138961 Substance Abuse Associate Yvonne Rojas 0140991 Temporary License Gregory Allen Roland 005837 Licensed Mental Health Counselor Zane Romancito 3205 Alcohol and Drug Counselor Laura L. Rombach 0113591 Clinical Mental Health Counselor (LPCC) Christine J. Romero-Debell 1044 Clinical Mental Health Counselor (LPCC) Arthur D. Romero, Sr. Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2601 Wyoming Blvd. NE Suite 101 Albuquerque NM 87112 1032 Sagebrush Trail SE Albuquerque NM 87123 Bernalillo Active 05/21/2007 09/30/2013 Bernalillo Active 07/31/1994 09/30/2014 10719 Tourmaline Dr. NW Albuquerque NM 87114 Bernalillo Active 11/15/2012 06/30/2013 2921 Carlisle Blvd. NE, Suite 111 Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2013 2921 Carlisle Blvd. NE, Suite 111 Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 1302 Waugh # 111 Houston TX 77019 Harris Active 01/03/2011 09/30/2014 2150 Tierra de Suenos Alamogordo NM 88310 Otero Active 02/01/2010 09/30/2013 2960 Rodeo Pk Dr W Santa Fe NM 87505 Santa Fe Active 01/17/2006 09/30/2014 3709 Don Isidro NW Albuquerque NM 87107 Bernalillo Active 08/06/2012 09/30/2013 4282 Bill Bart El Paso TX 79938 El Paso Active 03/30/2011 03/30/2012 3918 Flora Vista Albuquerque NM 87121 Bernalillo Active 06/21/2011 09/30/2014 P.O. Box 1455 Zuni NM 87327 McKinley Active 01/31/2002 09/30/2013 10423 Calle Chulita NW Albuquerque NM 87114 Bernalillo Active 12/31/1999 09/30/2013 6715 Boca Negra Pl. NW Albuquerque NM 87120 Bernalillo Active 05/14/2008 09/30/2014 2879 Cripple Creek Rd. Rio Rancho NM 87124 Sandoval Active 12/31/1998 09/30/2014 Page 260 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type General Address County License Status Issue Date Expiration Date 3468 Arthur D. Romero, Sr. Sandoval Active 01/31/1997 09/30/2014 3871 Alcohol and Drug Counselor Carlos R. Romero 2879 Cripple Creek Rd. Rio Rancho NM 87124 Bernalillo Expired 05/31/1997 09/30/2009 4077 Alcohol and Drug Counselor Deborah J. Romero 2705 Hurley NE Albuquerque NM 87120 Bernalillo Active 08/31/1997 09/30/2013 1310 Alcohol and Drug Counselor Eleanor D. Romero 3920 Calle del Prado SW Albuquerque NM 87105 Taos Active 07/31/1994 09/30/2014 0150231 Professional Mental Health Counselor GILBERT J ROMERO P.O. Box 3290 Taos NM 87571 Valencia Active 05/25/2012 09/30/2013 1738 Substance Abuse Associate Jacqueline P. Romero 4104 Kiva Trail Los Lunas NM 87031 Santa Fe Active 07/31/1994 09/30/2014 0120841 Clinical Mental Health Counselor (LPCC) Leandrea Raquel Romero 1714 Calle Dviente Norte Santa Fe NM 87507 Bernalillo Active 02/25/2009 09/30/2014 0146991 Licensed Mental Health Counselor Margaret L. Romero 112 Hilton Ave. NW Albuquerque NM 87107 Valencia Null and Void 02/03/2012 09/30/2012 0153501 Temporary License Margaret L. Romero 3 St. Jude Dr. Los Lunas NM 87031 Valencia Active 09/18/2012 04/30/2013 0129511 Temporary License Monica C. Romero 3 St. Jude Dr. Los Lunas NM 87031 Mora Active 02/10/2010 09/30/2013 0066582 Licensed Mental Health Counselor Nancy J. Romero P.O. Box 1024 Mora NM 87732 Bernalillo Active 05/31/2003 09/30/2014 2645 Clinical Mental Health Counselor (LPCC) Olivia D. Romero 1405 Ridgecrest Dr. SE Albuquerque NM 87108 Bernalillo Active 01/31/1995 09/30/2013 0075631 Licensed Mental Health Counselor Roxanne R. Romero 7508 Painted Pony Tr. NW Albuquerque NM 87120 Sandoval Active 09/14/2004 09/30/2013 0125521 Clinical Mental Health Counselor (LPCC) Sabrina Jolene Romero 2555 Cerro Parrido Rd. SE Rio Rancho NM 87124 Bernalillo Active 08/24/2009 09/30/2013 0117531 Clinical Mental Health Counselor (LPCC) Stacey Grace Romero 4400 14th Ct. NW Albuquerque NM 87107 801 Camino Tres Arroyos Santa Fe NM 87507 Santa Fe Active 10/17/2008 05/30/2009 Temporary License Printed: 01/15/2013 Page 261 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0126291 Stacey Grace Romero 1622 Clinical Mental Health Counselor (LPCC) Judy A. Rominger 1445 Art Therapist Mary S. Romo-Baca 1311 Clinical Mental Health Counselor (LPCC) Raymond H. Rondeau 3722 Clinical Mental Health Counselor (LPCC) Jerome M. Rooney 0202 Alcohol and Drug Counselor Nancy W. Rosborough 0247 Clinical Mental Health Counselor (LPCC) Nancy W. Rosborough 0141291 Art Therapist Rebecca S. Rose 0457 Clinical Mental Health Counselor (LPCC) Melissa E. Rosen 1170 Professional Mental Health Counselor Carol A. Ross 0153281 Clinical Mental Health Counselor (LPCC) Christine L Ross 2799 Marriage and Family Therapist Nina S. Ross 2690 Art Therapist Tonia L. Ross 0100241 Clinical Mental Health Counselor (LPCC) Joanne M. Rossi 3431 Clinical Mental Health Counselor (LPCC) Rita T. Roth Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 5722 Santa Fe NM 87502 Santa Fe Active 09/23/2009 09/30/2013 915 Roma NW Albuquerque NM 87102 Bernalillo Active 10/31/1994 09/30/2014 2124 South 8th Street Tucumcari NM 88401 Quay Active 07/31/1994 09/30/2013 10019 Club CT NW Albuquerque NM 87114 Bernalillo Retired 05/31/1998 09/30/2009 7414 Carson Trail NW Albuquerque NM 87120 Bernalillo Active 07/31/1997 09/30/2014 610 East Lake Drive SE Rio Rancho NM 87124 Sandoval Expired 07/31/1994 09/30/2009 610 East Lake Drive SE Rio Rancho NM 87124 Sandoval Expired 05/31/1994 09/30/2009 1605 S. Main St., #B Las Cruces NM 88005-3124 Dona Ana Active 06/30/2011 09/30/2014 385 South End Ave., #3M New York NY 10280 New York Expired 05/31/1994 09/30/1997 606 C Griffin Street Santa Fe NM 87501 Santa Fe Active 06/30/1994 09/30/2014 9636 Mendoza Ave NE Albuquerque NM 87109 Bernalillo Active 09/11/2012 09/30/2013 1934 Hano Rd. Santa Fe NM 87505 Santa Fe Active 01/31/1995 09/30/2013 1517 Vermont Ave. Alamogordo NM 88310 Otero Active 01/31/1995 09/30/2014 56 Priestley Place Corrales NM 87048 Sandoval Active 01/23/2007 09/30/2014 2901 Carlisle Blvd. NE, B -17 1/2 Albuquerque NM 87110 Bernalillo Active 06/30/1997 09/30/2013 Page 262 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005657 Emily Rothschild 1447 Licensed Mental Health Counselor Barbara M. Rothweiler 0482 Professional Mental Health Counselor Linda Rounds-Nichols 4545 Professional Mental Health Counselor Eugene Cope Routh 4546 Marriage and Family Therapist Eugene Cope Routh 3138 Professional Mental Health Counselor Karen Alice Rowell 005651 Professional Mental Health Counselor Emilio Roybal 4651 Licensed Mental Health Counselor Kathy R. Roybal 0094241 Marriage and Family Therapist Morry L. Roybal 0125341 Professional Mental Health Counselor Katherine Therese Royer 0149461 Licensed Mental Health Counselor Katherine Therese Royer 1624 Clinical Mental Health Counselor (LPCC) Harry A. Royson 1253 Clinical Mental Health Counselor (LPCC) Michele Rozbitsky 0146961 Clinical Mental Health Counselor (LPCC) Donald Jay Rozell 0083601 Substance Abuse Associate Rebecca M. Rozell Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 717 Rosita St. Santa Fe NM 87505 Santa Fe Active 12/31/2000 09/30/2013 5400 Avenida Cuesta NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2013 Box 1959 Gallup NM 87305 McKinley Active 06/30/1994 09/30/2014 P.O. Box 1464 Ruidoso NM 88355-7464 Lincoln Retired 01/31/1999 09/30/2009 P.O. Box 1464 Ruidoso NM 88355-7464 Lincoln Retired 05/31/1998 09/30/2009 2540 Camino Cabestro Santa Fe NM 87505 Santa Fe Active 04/30/1997 09/30/2014 316 Chavez St. Las Vegas NM 87701 San Miguel Active 05/31/2001 09/30/2013 4048 Calle De Estrellas Las Cruces NM 88012 Dona Ana Active 06/30/1999 09/30/2013 10137 Taft Ct. NW Albuquerque NM 87114 Bernalillo Active 07/11/2006 09/30/2013 7536 Prairie Road NE Albuquerque NM 87109 Bernalillo Active 08/18/2009 09/30/2013 7536 Prairie Road NE Albuquerque NM 87109 Bernalillo Active 04/23/2012 09/30/2014 # 10 Camino Empresa, P.O. Box 800 Placitas NM 87043 Sandoval Retired 07/31/1994 09/30/2008 139 Juan de Dios Santa Fe NM 87501 Santa Fe Active 06/30/1994 09/30/2013 8052 Tuscarora Rd. NW Albuquerque NM 87114 Bernalillo Active 02/02/2012 09/30/2013 8052 Tuscarora Road NW Albuquerque NM 87114 Bernalillo Active 07/05/2005 09/30/2014 Page 263 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0132241 Rebecca M. Rozell 006030 Clinical Mental Health Counselor (LPCC) Rosalia I. Rozsahegyi 3704 Art Therapist Reverend Dennis W. Ruane 1254 Alcohol and Drug Counselor Kim A. Rubin 3523 Clinical Mental Health Counselor (LPCC) Henry Rubio 0245 Alcohol and Drug Counselor Lori Rudolph 0150861 Clinical Mental Health Counselor (LPCC) Kelly Rueda 0156071 Temporary License Kelly Rueda 0132001 Temporary License Carolyn H. Ruiz 0091141 Clinical Mental Health Counselor (LPCC) Dante K. Ruiz 0096891 Art Therapist Maureen E. Rule 0146931 Clinical Mental Health Counselor (LPCC) Rowena R. Runyan 0124611 Substance Abuse Associate Marsha B. Rupe 0122421 Clinical Mental Health Counselor (LPCC) Ami S. Rupp 0123751 Clinical Mental Health Counselor (LPCC) Adoree Anne Russell Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8052 Tuscarora Road NW Albuquerque NM 87114 Bernalillo Active 05/20/2010 09/30/2013 2324 Warrensville Ctr. Road University Hts. OH 44118 Cuyahoga Retired 01/31/2002 09/30/2008 P.O. Box 18631 Kearns UT 84118 Salt Lake Active 06/30/1997 09/30/2014 3 Altazano Drive Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2014 P.O. Box 3342 Gallup NM 87305 McKinley Retired 03/31/1997 09/30/2009 2704 Los Anayas NW Albuquerque NM 87104 Bernalillo Active 05/31/1994 09/30/2013 1224 E Llano Hobbs NM 88240 Lea Null and Void 06/19/2012 01/31/2013 1224 E Llano Hobbs NM 88240 Lea Active 01/08/2013 08/31/2013 303 Rosalia Tularosa NM 88352 Otero Active 05/12/2010 09/30/2013 P.O. Box 98 Paonia CO 81428 Delta Active 03/15/2006 09/30/2013 3113 California NE Albuquerque NM 87110 Bernalillo Active 09/25/2006 09/30/2013 2313 Paul Pl. Silver City NM 88061 Grant Active 02/01/2012 09/30/2013 14124 Copper Ave. NE, # 61 Albuquerque NM 87123 Bernalillo Active 07/20/2009 09/30/2013 3939 Rio Grande Blvd. NW Unit 27 Albuquerque NM 87107 900 Jackson Street Grants NM 87020 Bernalillo Active 04/16/2009 09/30/2013 Cibola Active 06/16/2009 09/30/2011 Page 264 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0147341 Seneca D. Russell 0148291 Substance Abuse Associate Seneca D. Russell 0154331 Temporary License Seneca D. Russell 0088901 Temporary License Susan K. Russo 1046 Clinical Mental Health Counselor (LPCC) Lenan Rust 0104491 Art Therapist Lenan Rust 0146951 Clinical Mental Health Counselor (LPCC) Cory J. Rutland 0146871 Licensed Mental Health Counselor Lindsay A. Rutland 0128331 Licensed Mental Health Counselor Kerry Marie Ryall 0129321 Licensed Mental Health Counselor Ronald L. Saberton 0095481 Clinical Mental Health Counselor (LPCC) Marnie I. Sadek 0106901 Temporary License Marnie I. Sadek 0101771 Marriage and Family Therapist Gayle Sadler 0154151 Licensed Mental Health Counselor Sylvia R. Sadler 2727 Substance Abuse Associate William Sadler Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3617 Sierra Bonita Ave. Las Cruces NM 88012 Dona Ana Active 02/22/2012 09/30/2013 3617 Sierra Bonita Ave. Las Cruces NM 88012 Dona Ana Null and Void 03/22/2012 03/31/2013 3617 Sierra Bonita Ave. Las Cruces NM 88012 Dona Ana Active 10/19/2012 07/31/2013 13833 N. 37th Way Phoenix AZ 85032 Maricopa Active 12/30/2005 09/30/2014 212 Jefferson NE Albuquerque NM 87108 Bernalillo Active 07/31/1994 09/30/2014 212 Jefferson NE Albuquerque NM 87108 Bernalillo Active 06/08/2007 09/30/2014 3109 May Circle Rio Rancho NM 87124 Sandoval Active 02/02/2012 09/30/2013 6348 Avenuda Madrid Albuquerque NM 87114 Bernalillo Active 01/30/2012 09/30/2013 1923 Gramercy Ave #A Torrance CA 90501 Los Angeles Active 12/28/2009 09/30/2013 1350 Sonora Road NE Rio Rancho NM 87144 Sandoval Active 02/01/2010 09/30/2013 7100 Way Cross Ave. NW Albuquerque NM 87120 Bernalillo Active 08/14/2006 08/31/2007 7100 Way Cross Ave NW Albuquerque NM 87120 Bernalillo Active 08/23/2007 09/30/2014 3421 Dakota NE Albuquerque NM 87110 Bernalillo Retired 03/14/2007 09/30/2012 1 Coronado Circle Roswell NM 88203 Chaves Active 10/15/2012 09/30/2014 253 Fountain Rd. El Paso TX 79912 El Paso Active 04/30/1995 09/30/2013 Page 265 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0113531 Tantalayo K. Saenz 0156091 Alcohol and Drug Counselor Valerie H. Saffold 0194 Licensed Mental Health Counselor Arno Safier 0078351 Clinical Mental Health Counselor (LPCC) Kathleen Jo Safken 1627 Marriage and Family Therapist Helga C. Sager 2323 Professional Mental Health Counselor Cynthia Bear Sahlfeld 0145051 Professional Mental Health Counselor Frank Lawrence Saiz 0063861 Clinical Mental Health Counselor (LPCC) Patricia E. Saiz 0513 Substance Abuse Associate Mary J. Sak 005667 Clinical Mental Health Counselor (LPCC) Claire D. Saks 2028 Clinical Mental Health Counselor (LPCC) Joseph Salack 0139311 Clinical Mental Health Counselor (LPCC) Hannah L. Salander 0141011 Licensed Mental Health Counselor John C. Salaz 0098301 Clinical Mental Health Counselor (LPCC) Natalie S. Salazar-Cottle 0066402 Professional Mental Health Counselor Kathleen J. Salazar-Valdez Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P. O. Box 92774 Albuquerque NM 87199 Bernalillo Active 05/09/2008 09/30/2014 10715 Buck Island Rd. SW Albuquerque NM 87121-1 Bernalillo Active 01/09/2013 09/30/2014 1331 Park Avenue SW, #303 Albuquerque NM 87102-2861 Bernalillo Expired 08/30/1994 09/30/1996 40866 May Lundy Street Indio CA 92203 Riverside Retired 01/07/2005 09/30/2009 Ellernbende 4 D-50226 Frechen, Germany United Kingdom 11 Calle Medico, Ste.6 Santa Fe NM 87505 Unknown Expired 10/30/1994 09/30/2001 Santa Fe Active 01/31/1995 09/30/2013 2500 Wisconsin NE Albuquerque NM 87110 Bernalillo Active 11/22/2011 09/30/2013 3320 Mata Ortiz Drive SW Albuquerque NM 87121 Bernalillo Expired 07/31/2002 09/30/2009 943 N. Alameda Las Cruces NM 88005 Dona Ana Active 06/30/1994 09/30/2013 4119 Albans Road Houston TX 77005 Harris Active 12/31/2000 09/30/2013 501 Rio Grande B-1 Santa Fe NM 87501 Santa Fe Active 09/30/1994 09/30/2014 PO Box 2089 Taos NM 87571 Taos Active 04/13/2011 09/30/2014 2547Violeta Circle SE Rio Rancho NM 87124 Sandoval Active 06/22/2011 09/30/2014 4928 Star Kachina NW Albuquerque NM 87120 Bernalillo Active 11/17/2006 09/30/2013 P.O. Box 1238 Dulce NM 87528 Rio Arriba Active 05/31/2003 09/30/2014 Page 266 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145781 Kathleen J. Salazar-Valdez 3725 Temporary License Clemente P. Salazar 0098571 Alcohol and Drug Counselor Daniel James Salazar 1769 Licensed Mental Health Counselor Elisabeth G. Salazar 0108381 Clinical Mental Health Counselor (LPCC) Evelyn M. Salazar 0132861 Professional Mental Health Counselor Jose M. Salazar 0133101 Licensed Mental Health Counselor Lorinda M. Salazar 2712 Substance Abuse Associate Lucy Salazar 3691 Clinical Mental Health Counselor (LPCC) Roman H. Salazar 0067372 Alcohol and Drug Counselor Wayne A. Salazar 2312 Substance Abuse Associate Thomas J. Salb 4363 Clinical Mental Health Counselor (LPCC) Roy Salcido 2212 Alcohol and Drug Counselor Diana Salgado-Dow 0045 Clinical Mental Health Counselor (LPCC) Linda S. Salomone 0111461 Clinical Mental Health Counselor (LPCC) Katherine Nemeth Saltz Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 1238 Dulce NM 87528 Rio Arriba Null and Void 12/23/2011 07/31/2012 P.O. Box 872 San Juan Pueblo NM 87566 Rio Arriba Active 03/31/1997 09/30/2013 1999 Panorama Drive Los Lunas NM 87031 Valencia Active 11/29/2006 09/30/2013 150 Rincon De Torreon Santa Fe NM 87501 Santa Fe Active 12/31/1994 09/30/2013 421 Park Avenue Raton NM 87740 Colfax Active 10/18/2007 09/30/2014 6835 Louisiana Blvd. NE Albuquerque NM 87109 Bernalillo Active 06/14/2010 09/30/2013 3523 Camino Jalisco Santa Fe NM 87507 Santa Fe Active 06/23/2010 09/30/2013 2600 W. Zia Road I-9 Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2014 6400 Elm Street Santa Fe NM 87507 Santa Fe Active 03/31/1997 09/30/2013 P.O. Box 1801 Espanola NM 87532 Rio Arriba Active 07/31/2003 09/30/2014 1849 N. Jefferson Hobbs NM 88240 Lea Active 12/31/1997 09/30/2014 P.O. Box 218 Thoreau NM 87323 McKinley Active 01/31/1999 09/30/2013 2857 Ancho Ave. Las Cruces NM 88007 Dona Ana Active 09/30/1994 09/30/2014 1639 Betts St. NE Albuquerque NM 87112 Bernalillo Active 04/30/1994 09/30/2013 314 E. Fairgrounds Road Artesia NM 88210 Eddy Active 02/19/2008 09/30/2014 Page 267 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0079751 Samaritan Counseling Center 0073571 CEU Provider Certificate Robert Alexander San-Claire 0424 Professional Mental Health Counselor Alma Sanchez Altamirano 0141121 Professional Mental Health Counselor Mary J. Sanchez-Halpern 0065632 Temporary License Elisa A. Sanchez-Loza 0114431 Substance Abuse Associate Adriana C. Luna Sanchez 0154261 Licensed Mental Health Counselor Adriana C. Luna Sanchez 1448 Clinical Mental Health Counselor (LPCC) Bernadette M. Sanchez 0555 Clinical Mental Health Counselor (LPCC) Bonnie F. Sanchez 2715 Clinical Mental Health Counselor (LPCC) Deborah A. Sanchez 0123821 Registered Independent Counselor Diane Lynn Sanchez 0130111 Clinical Mental Health Counselor (LPCC) Ginny Clare Sanchez 3600 Licensed Mental Health Counselor Joyce Martinez Sanchez 0066982 Alcohol and Drug Counselor Kenny D. Sanchez 0111241 Alcohol and Drug Counselor Leah Antoinette Sanchez Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1101 Medical Arts Ave. NE, Bldg.#3 Albuquerque NM 87102 Bernalillo Active 03/02/2005 09/30/2013 48 S. Mountain Rd. Edgewood NM 87015 Santa Fe Active 06/01/2004 09/30/2013 P.O. Box 220915 El Paso TX 79913 El Paso Active 09/30/1994 09/30/2014 11041 Brairwood Terrace NE Albuquerque NM 87111 Bernalillo Active 06/24/2011 01/31/2012 251 Pala Vista Drive Vista CA 92083 San Diego Active 02/28/2003 09/30/2014 1608 Escalante Ave., SW Albuquerque NM 87104 Bernalillo Active 06/12/2008 09/30/2014 1608 Escalante Ave. SW Albuquerque NM 87104 Bernalillo Active 10/18/2012 09/30/2014 1704 Avenida Real NW Albuquerque NM 87105 Bernalillo Retired 07/31/1994 09/30/2009 11401 Carmel NE Albuquerque NM 87122 Bernalillo Active 06/30/1994 09/30/2013 1436 Entrada Bonita SW Albuquerque NM 87105 Bernalillo Active 11/30/1994 09/30/2013 5244 Wyoming NE, E-7 Albuquerque NM 87111 Bernalillo Active 06/18/2009 09/30/2013 7108 Leone St. NE Albuquerque NM 87109 Bernalillo Active 03/01/2010 09/30/2013 P.O. Box 207 Cebolla NM 87518 Rio Arriba Active 02/28/1997 09/30/2014 P.O. Box 554 Zuni NM 87327 McKinley Active 06/30/2003 09/30/2014 7717 Redberry St. NW Albuquerque NM 87120 Bernalillo Active 02/11/2008 09/30/2014 Page 268 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0098241 LoriAnn E. Sanchez 0064521 Professional Mental Health Counselor Louise R. Sanchez 0147211 Substance Abuse Associate Lynn M. Sanchez 0091101 Clinical Mental Health Counselor (LPCC) Maria Dolores Sanchez 0084741 Clinical Mental Health Counselor (LPCC) Mark Sanchez 0119281 Alcohol and Drug Counselor Martha Louise Sanchez 3849 Alcohol and Drug Counselor Santana C. Sanchez 0102881 Alcohol and Drug Counselor Stephanie B. Sanchez 0097131 Clinical Mental Health Counselor (LPCC) Tina Michelle Sanchez 0069521 Clinical Mental Health Counselor (LPCC) Rosario C. Sandels 0057 Substance Abuse Associate Terry K. Sanderlin 0125511 Clinical Mental Health Counselor (LPCC) Christian A. Sanders 0098221 Alcohol and Drug Counselor Ginger Ann Sanders 0113151 Substance Abuse Associate Ginger Ann Sanders 0095501 Alcohol and Drug Counselor Penny G. Sanders Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10328 Avenida Vista Cerros NE Albuquerque NM 87114 Bernalillo Active 11/15/2006 09/30/2013 P.O. Box 883 San Juan Pueblo NM 87566 Rio Arriba Active 10/31/2002 09/30/2013 708 W San Mateo Santa Fe NM 87505 Santa Fe Active 02/13/2012 09/30/2013 5618 Palm Avenue SW Albuquerque NM 87121 Bernalillo Active 03/14/2006 09/30/2013 P.O. Box 2707 Shiprock NM 87420-2707 San Juan Active 08/05/2005 09/30/2014 P.O. Box 2781 Farmington NM 87499 San Juan Active 01/08/2009 09/30/2014 P.O. Box 4001 San Felipe Pb NM 87001 Sandoval Expired 01/31/1997 09/30/2009 4327 Cliff Base NW Albuquerque NM 87120 Bernalillo Active 04/16/2007 09/30/2014 4524 Samara NW Albuquerque NM 87120 Bernalillo Active 10/02/2006 09/30/2013 12231 Academy Rd. NE, #118 Albuquerque NM 87111 Bernalillo Expired 12/31/2003 09/30/2009 4030 Smith SE Albuquerque NM 87108 Bernalillo Active 04/30/1994 09/30/2013 PO Box 1665 Tuba City AZ 86045 Coconino Active 08/24/2009 09/30/2013 309 SW 14th Seminole TX 79360 Gaines Expired 11/15/2006 09/30/2009 706 SW Avenue L Seminole TX 79360 Gaines Active 04/29/2008 09/30/2014 1401 W. 17th St. Portales NM 88130 Roosevelt Active 08/14/2006 09/30/2013 Page 269 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0080401 Antoinette M. Sandoval-Carpenter 005643 Clinical Mental Health Counselor (LPCC) Esquipula Sandoval 3850 Substance Abuse Associate Jennifer Sandoval 0088241 Alcohol and Drug Counselor Krystal L. Sandoval 0089811 Licensed Mental Health Counselor Preston Sandoval 0149011 Substance Abuse Associate Ricardo Sandoval 0127291 Substance Abuse Associate Sara Brie Sandoval 0131681 Alcohol and Drug Counselor Sandra Ingerman 0148621 CEU Provider Certificate Sandra Spurlock 1740 CEU Provider Certificate Dee Ann Sands, LPCC 0155161 Clinical Mental Health Counselor (LPCC) Heather C. Sands 0770 Licensed Mental Health Counselor Karen R. Sands 0151671 Clinical Mental Health Counselor (LPCC) Rhonda L. Sandy 1867 Licensed Mental Health Counselor Nicholas D. Sanfilipo 0512 Clinical Mental Health Counselor (LPCC) Christopher P. Sanger Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1717 Gros Ventre Drive NE Rio Rancho NM 87144 Sandoval Active 03/23/2005 09/30/2014 P.O. Box 1923 Espanola NM 87532 Rio Arriba Active 08/31/2001 09/30/2013 1332 Rebecca Rd. Rio Rancho NM 87144 Sandoval Active 03/31/1997 09/30/2014 4601 Montano NW, #18 Albuquerque NM 87120 Bernalillo Active 12/08/2005 09/30/2014 HCR 79 Box #3027 Cuba NM 87013 Sandoval Active 02/06/2006 09/30/2014 8816 Tradewind NW Albuquerque NM 87121 Bernalillo Active 04/10/2012 09/30/2013 7120 Mojave St. NW Albuquerque NM 87120 Bernalillo Active 11/02/2009 09/30/2013 P.O. Box 4772 Santa Fe NM 87502 Santa Fe Active 04/30/2010 09/30/2013 218 Broadway SE Albuquerque NM 87102 Bernalillo Active 03/30/2012 09/30/2013 39 CR 1800 Farmington NM 87401 San Juan Active 07/31/1994 09/30/2014 7220 Central Ave. SE Apt. 1251 Albuquerque NM 87108 Bernalillo Active 11/29/2012 09/30/2014 2795 Via Caballero Del Sur Santa Fe NM 87505 Santa Fe Active 11/30/1994 09/30/2014 7612 Prairie Falcon Ave. NW Albuquerque NM 87114 Bernalillo Active 07/23/2012 09/30/2013 3217 Madeira Drive NE Albuquerque NM 87110 Bernalillo Active 08/31/1999 09/30/2013 8205 William Moyers Avenue NE Albuquerque NM 87122 Bernalillo Active 06/30/1994 09/30/2014 Page 270 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4719 Maria L. Santa Maria 0154591 Clinical Mental Health Counselor (LPCC) Sandra Michelle Santos-Rodriguez 0155121 Licensed Mental Health Counselor Sandra Michelle Santos-Rodriguez 0086421 Temporary License Elisa Marie Sapienza 0064481 Marriage and Family Therapist David Anthony Sarabia 0068382 Substance Abuse Associate Sarah B. Pla 0132851 CEU Provider Certificate Gabrielle F. Sarfaty 0111631 Clinical Mental Health Counselor (LPCC) Sargent Consulting, Inc. 0853 CEU Provider Certificate Lawrence S. Sargent 0854 Clinical Mental Health Counselor (LPCC) Patricia F. Sargent 0626 Clinical Mental Health Counselor (LPCC) France Vega Sarradon 0123551 Clinical Mental Health Counselor (LPCC) Suzy S. Sartain 0094671 Clinical Mental Health Counselor (LPCC) Jerome L. Sather 0137911 Clinical Mental Health Counselor (LPCC) Kristine Louise Saucer 3991 Licensed Mental Health Counselor Gordon R. Saunders, II Alcohol Abuse Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9 Calle Cabito Santa Fe NM 87508 Santa Fe Active 12/31/1999 09/30/2013 8913 McFall El Paso TX 79925 El Paso Active 10/29/2012 09/30/2014 8913 McFall El Paso TX 79925 El Paso Active 11/28/2012 06/30/2013 2727 Burton SE Albuquerque NM 87106 Bernalillo Active 09/19/2005 09/30/2014 1751 W. Hadley, #159 Las Cruces NM 88005 Dona Ana Active 10/31/2002 09/30/2013 4618 Idlewilde SE Albuquerque NM 87108 Bernalillo Active 10/27/2003 09/30/2013 13208 Della Longa Lane NE Albuquerque NM 87111 Bernalillo Active 06/14/2010 09/30/2013 P.O. Box 981 Taos NM 87571 Taos Active 02/26/2008 09/30/2013 Box 981 Taos NM 87571 Taos Active 09/30/1994 09/30/2013 P.O. Box 981 Taos NM 87571 Taos Active 08/30/1994 09/30/2014 6501 4th St. NW, Suite E-3 Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2014 P.O. Box 1676 Chinle AZ 86503 Apache Active 06/08/2009 09/30/2013 10401 Calle Hermosa Ct. NW Albuquerque NM 87114 Bernalillo Active 06/09/2005 09/30/2013 705 NW Ave H Seminole TX 79360 Gaines Active 02/14/2011 09/30/2014 15548 Highland Valley Road Escondido CA 92025 San Diego Expired 07/31/1997 09/30/2009 Page 271 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0102831 Veronica A. Savage 0115261 Licensed Mental Health Counselor Heidi S. Sawyer 0073931 Substance Abuse Associate Robin A. Sawyer 0088811 Alcohol and Drug Counselor Robin A. Sawyer 0093781 Clinical Mental Health Counselor (LPCC) Mary E. Sawyers 0281 Clinical Mental Health Counselor (LPCC) Pamela K. Schackel 4141 Clinical Mental Health Counselor (LPCC) Raymond J. Schaedler 0069911 Clinical Mental Health Counselor (LPCC) Jacquelyn K. Schaefer 0149821 Alcohol and Drug Counselor Jessie Schaefer 1379 Licensed Mental Health Counselor John A. Schaffer 0077 Clinical Mental Health Counselor (LPCC) Richard G. Schalhoub 0108981 Clinical Mental Health Counselor (LPCC) Debra B. Schapiro 0108701 Clinical Mental Health Counselor (LPCC) Kathleen Scheid 0118071 Marriage and Family Therapist Linda A. Schelander 0102961 Clinical Mental Health Counselor (LPCC) Reinhart Schelert Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 2064 El Prado NM 87529 Taos Active 04/16/2007 09/30/2014 1104 N Buena Vista Ave Farmington NM 87401 San Juan Active 07/15/2008 09/30/2014 901 Palomas Dr. NE Albuquerque NM 87108 Bernalillo Active 06/07/2004 09/30/2013 901 Palomas Dr. NE Albuquerque NM 87108 Bernalillo Active 12/28/2005 09/30/2014 3557 Evy Ln. Las Cruces NM 88012 Dona Ana Active 06/21/2006 09/30/2013 1533 St. Francis Dr., Ste. E Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 1173 Mesa Loop NW Los Lunas NM 87031 Valencia Active 12/31/1997 09/30/2013 410 Pinon Creek Ct. SE Albuquerque NM 87123 Bernalillo Active 12/31/2003 09/30/2013 171 Riverside Dr. SW Albuquerque NM 87105 Bernalillo Active 05/04/2012 09/30/2013 811 Twin Diamond Road Roswell NM 88201 Chaves Expired 07/31/1994 09/30/2009 8338 Comanche Road NE, Suite A Albuquerque NM 87110-2357 Bernalillo Active 06/30/1994 09/30/2013 1115 Orchard Place NW Albuquerque NM 87102 Bernalillo Active 11/09/2007 09/30/2013 311 E. 19th Street Silver City NM 88061 Grant Active 10/26/2007 09/30/2013 657 Camino Floretta NW Albuquerque NM 87107 Bernalillo Active 11/03/2008 09/30/2014 7105 Gettysburg Road NE Albuquerque NM 87109 Bernalillo Active 04/18/2007 09/30/2014 Page 272 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2688 Lisa Scheuner 0120121 Professional Mental Health Counselor Tea Schiano 0129991 Clinical Mental Health Counselor (LPCC) Michelle Jennifer Schilling 0152041 Clinical Mental Health Counselor (LPCC) Craig W. Schimke 005775 Temporary License Kathleen Schindler-Wright 005745 Clinical Mental Health Counselor (LPCC) Gwen D. Schmidt 0855 Alcohol and Drug Counselor Mellis I. Schmidt 0068082 Clinical Mental Health Counselor (LPCC) Suzanne Schmidt 0106851 Marriage and Family Therapist Suzanne Schmidt 0267 Clinical Mental Health Counselor (LPCC) William R. Schmidt, Jr. 0069282 Clinical Mental Health Counselor (LPCC) Yvonne M. Schmidt 0069452 Clinical Mental Health Counselor (LPCC) Jennifer Joy Schmierer 0111251 Clinical Mental Health Counselor (LPCC) Christine Ann Schmitt 3349 Licensed Mental Health Counselor Nancy A. Schmitz 0151101 Clinical Mental Health Counselor (LPCC) Aimee F. Schnedler Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 909 Girard SE Albuquerque NM 87106 Bernalillo Active 01/31/1995 09/30/2014 4 Allen Drive Los Lunas NM 87031 Valencia Active 02/03/2009 09/30/2013 4985 Gem Ct. Las Cruces NM 88005 Dona Ana Active 02/23/2010 09/30/2013 PO Box 1375 Grants NM 87020 Cibola Active 08/13/2012 03/13/2013 407 Monte Largo Drive NE Albuquerque NM 87123 Bernalillo Active 06/22/2001 09/30/2013 1141 Mesa Ridge Drive SW 1141 Mesa Ridge Drive SW Los Lunas NM 87031 1711 Camino La Canada Santa Fe NM 87501 Valencia Active 01/31/2002 09/30/2013 Santa Fe Active 07/31/1994 09/30/2013 P.O. Box 1600 Cloudcroft NM 88317 Otero Active 09/30/2003 09/30/2014 P.O. Box 1600 Cloudcroft NM 88317 Otero Active 08/22/2007 09/30/2014 4517 Royene Avenue NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2013 4424 Glencroft Ave. NW Albuquerque NM 87114 Bernalillo Active 12/31/2003 09/30/2014 1075 Los Pueblos Los Alamos NM 87544 Los Alamos Active 12/31/2003 09/30/2013 113 La Joya Santa Fe NM 87501 Santa Fe Active 02/11/2008 09/30/2013 1556 Don Gaspar Santa Fe NM 87505 Santa Fe Active 04/30/1997 09/30/2013 343 Kayenta Dr. Los Alamos NM 87544 Los Alamos Null and Void 06/22/2012 01/31/2013 Page 273 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0155641 Aimee F. Schnedler 0144921 Temporary License Amanda Schneider 0079991 Licensed Mental Health Counselor Constance M. Schneider 0096091 Licensed Mental Health Counselor Jennifer Stewart Schneider 3473 Licensed Mental Health Counselor Jolene M. Schneider 0268 Alcohol and Drug Counselor Kuo Lan-Hsin Nancy Schneider 0122901 Clinical Mental Health Counselor (LPCC) Lenisa K. Schneider 0112391 Alcohol and Drug Counselor Ruth Schoder 0143411 Clinical Mental Health Counselor (LPCC) Stephanie Schoen-Orr 1870 Clinical Mental Health Counselor (LPCC) Sheryl A. Schoeneberg 1871 Marriage and Family Therapist Sheryl A. Schoeneberg 0146901 Clinical Mental Health Counselor (LPCC) Herbert S. Schofield, III 0145701 Marriage and Family Therapist Ruth M. Schofield 0790 Marriage and Family Therapist John (Jack) F. Schooley 0148111 Clinical Mental Health Counselor (LPCC) Jennifer L. Schouman Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 343 Kayenta Dr. Los Alamos NM 87544 Los Alamos Active 12/14/2012 07/31/2013 1610 Caminito Monica Santa Fe NM 87501 Santa Fe Active 11/16/2011 09/30/2013 16 A Camino Calabasas Santa Fe NM 87506 Santa Fe Active 03/08/2005 09/30/2014 1712 Redrock Drive Gallup NM 87301 McKinley Expired 09/01/2006 09/30/2009 1025 Riverstone Rd., #6 Farmington NM 87401 San Juan Active 01/31/1997 09/30/2013 6815 Glacier Road NW Albuquerque NM 87114 Bernalillo Active 05/31/1994 09/30/2014 2820 N. Elm Avenue Roswell NM 88201 Chaves Active 05/14/2009 09/30/2013 14309 Mocho Avenue NE Albuquerque NM 87123-1906 Bernalillo Active 04/01/2008 09/30/2014 6720 N. World Dr. #30 Hobbs NM 88242 Lea Active 09/21/2011 09/30/2013 P.O. Box 2683 Alamogordo NM 88311 Otero Active 10/15/1995 09/30/2014 P.O. Box 2683 Alamogordo NM 88311 Otero Active 10/31/1994 09/30/2013 1340 Monterrey Rd. NE Rio Rancho NM 87144 Sandoval Active 02/01/2012 09/30/2013 1340 Monterrey Rd. NE Rio Rancho NM 87144 Sandoval Active 12/21/2011 09/30/2013 824 La Senda NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2014 417 Phoenix Avenue NW Albuquerque NM 87107 Bernalillo Active 03/21/2012 09/30/2013 Page 274 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153941 Jennifer L. Schouman 0121581 Marriage and Family Therapist Erin Marie Schovanec 0088401 Clinical Mental Health Counselor (LPCC) Dennis Lee Schrader 0135571 Clinical Mental Health Counselor (LPCC) Nancy Schreiber 0153381 Licensed Mental Health Counselor Nancy Schreiber 0079531 Temporary License Charles Thomas Schreiner 0119401 Substance Abuse Associate Charles Kenneth Schrier 0155211 Licensed Mental Health Counselor Charles Kenneth Schrier 0108951 Temporary License Jason Monroe Schriver 0099981 Licensed Mental Health Counselor Jason Monroe Schriver 0070491 Temporary License Deborah J. Schroder 0129251 Art Therapist Marnie Holm Schroeder 0150461 Licensed Mental Health Counselor Michael James Schroeder 1001 Marriage and Family Therapist Patricia A. Schubauer 3183 Clinical Mental Health Counselor (LPCC) Marcia Ohmert Schubert Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 417 Phoenix Avenue NW Albuquerque NM 87107 Bernalillo Active 10/05/2012 09/30/2014 1316 South Rim NE Albuquerque NM 87112 Bernalillo Active 03/13/2009 09/30/2013 PO Box 2123 Silver City NM 88062 Grant Active 12/13/2005 09/30/2014 2705 Herradura, Unit E Santa Fe NM 87505 Santa Fe Active 10/20/2010 09/30/2014 2705 Herradura, Unit E Santa Fe NM 87505 Santa Fe Null and Void 09/13/2012 04/30/2013 901 Brother Mathias Place NW Albuquerque NM 87102 Bernalillo Active 02/22/2005 09/30/2014 9919 Academy Knolls Albuquerque NM 87111 Bernalillo Active 01/12/2009 09/30/2014 9919 Academy Knolls Albuquerque NM 87111 Bernalillo Active 11/29/2012 06/30/2013 1008 Devendale Las Cruces NM 88005 Dona Ana Active 11/08/2007 09/30/2013 1008 Devendale Las Cruces NM 88005 Dona Ana Active 01/17/2007 07/31/2007 2730 E. Calle Anna Jean Santa Fe NM 87505 Santa Fe Active 01/31/2004 09/30/2013 11016 Academy Ridge NE Albuquerque NM 87111 Bernalillo Active 02/01/2010 09/30/2013 7 La Vista Santa Fe NM 87505 Santa Fe Active 06/04/2012 09/30/2013 3408 Callejon Norte Santa Fe NM 87507 Santa Fe Retired 09/30/1994 09/30/2009 1913 Quail Run Dr. NE Albuquerque NM 87122 Bernalillo Active 01/31/1999 09/30/2013 Page 275 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 2311 Mark A. Schubert 2314 Marriage and Family Therapist Cathy J. Schueler 0119841 Art Therapist Jesse Brian Schulte 0246 Alcohol and Drug Counselor Judith T. Schuster 2029 Clinical Mental Health Counselor (LPCC) Melynn K. Schuyler 0099421 Professional Mental Health Counselor Diana Lindsay Schwartz 0148401 Clinical Mental Health Counselor (LPCC) Kristina D. Schwartz 0100721 Licensed Mental Health Counselor Robert Dale Schwartz 1002 Clinical Mental Health Counselor (LPCC) Susan E. Schwartz, Ph.D 0627 Clinical Mental Health Counselor (LPCC) Vashti Jean Schweedler 0151961 Clinical Mental Health Counselor (LPCC) Randi Schweitz 2038 Licensed Mental Health Counselor Carol R. Schwendimann 0125211 Clinical Mental Health Counselor (LPCC) Jason Charles Schwope 0135651 Substance Abuse Associate Jason Charles Schwope 0134881 Clinical Mental Health Counselor (LPCC) Cheryl Elizabeth Sciacca Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1913 Quail Run Drive NE Albuquerque NM 87122 Bernalillo Active 01/31/1995 09/30/2013 1500 Galbaldon Rd NW Albuquerque NM 87104 Bernalillo Active 09/30/1994 09/30/2014 2118 Central SE, #39 Albuquerque NM 87106 Bernalillo Active 01/22/2009 09/30/2013 2706 Mesa Linda NE Albuquerque NM 87112 Bernalillo Active 06/30/1994 09/30/2014 211 Corona Street Santa Fe NM 87501 Santa Fe Active 07/11/1995 09/30/2013 4242 N. Swan Silver City NM 88061 Grant Active 12/22/2006 09/30/2014 1866 Plaza del Sur, Apt. 140D Santa Fe NM 87505 Santa Fe Active 03/27/2012 09/30/2013 4242 N. Swan 4242 North Swan Silver City NM 88061 3625 E. Denton Lane Paradise Valley AZ 85253 Grant Active 02/07/2007 09/30/2014 Maricopa Active 07/31/1994 09/30/2014 P.O. Box 425 McIntosh NM 87032-0425 Torrance Active 09/30/1994 09/30/2013 3134 E. Animas Village Dr. Durango CO 81301 La Plata Active 08/09/2012 09/30/2013 P.O. Box 6593 Santa Fe NM 87502 Santa Fe Active 08/30/1994 09/30/2014 832 West Manana Clovis NM 88101 Curry Active 08/13/2009 09/30/2013 832 West Manana Clovis NM 88101 Curry Active 10/21/2010 09/30/2014 16 Vista Preciosa Santa Fe NM 87507 Santa Fe Active 09/13/2010 09/30/2014 Page 276 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0078131 Douglas Gordon Scott 4829 Marriage and Family Therapist Janie A. Scott 0313 Clinical Mental Health Counselor (LPCC) Kathleen A. Scott 3511 Clinical Mental Health Counselor (LPCC) Kathleen A. Scott 0575 Alcohol and Drug Counselor Kathy L. Scott 0150851 Professional Mental Health Counselor Rebecca L. Scott 1633 Temporary License Charles Scovone 0144621 Clinical Mental Health Counselor (LPCC) Amy M. Scroggin 0065132 Licensed Mental Health Counselor Susan D. Scroggin 0094031 Clinical Mental Health Counselor (LPCC) Susan D. Scroggin 0152681 Marriage and Family Therapist Silvija Seamon 0146891 Licensed Mental Health Counselor Lisa A. Searle 0078431 Clinical Mental Health Counselor (LPCC) Kenneth H. Sears, Jr. 0106931 Licensed Mental Health Counselor Penni Lane Sears 0111001 Marriage and Family Therapist Penni Lane Sears Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 1914 Ranchos de Taos NM 87557 Taos Active 12/22/2004 09/30/2013 869 Los Lovatos Santa Fe NM 87501 Santa Fe Active 08/31/1999 09/30/2013 6909 N. Country Rd. Hobbs NM 88242 Lea Active 07/31/1994 09/30/2013 6909 N. Country Rd. Hobbs NM 88242 Lea Active 01/31/1997 09/30/2013 115 Cottswold Dr. Delaware OH 43015 Delaware Retired 05/31/1994 09/30/2009 7719 Kentwood Ave. NW Albuquerque NM 87114 Bernalillo Active 06/19/2012 01/31/2013 2701 Daytona Ave. Lake Havasu City AZ 86403 Mohave Active 11/30/1994 09/30/2013 P.O. Box 1648 Artesia NM 88211 Eddy Active 11/02/2011 09/30/2013 4419 Centennial #328 Colorado Springs CO 80907 El Paso Retired 01/31/2003 09/30/2012 4419 Centennial #328 Colorado Springs CO 80907 El Paso Active 06/30/2006 09/30/2013 904 W. Gold Ave. Hobbs NM 88240 Lea Active 08/24/2012 09/30/2013 6808 Verano Ct. Albuquerque NM 87120 Bernalillo Active 02/01/2012 09/30/2013 P.O. Box 9614 Santa Fe NM 87504-9614 Santa Fe Expired 01/07/2005 09/30/2009 611 Kopra Truth or Consequences NM 87901 Sierra Active 08/23/2007 09/30/2014 611 Kopra Truth or Consequences NM 87901 Sierra Active 02/04/2008 09/30/2014 Page 277 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0148871 Alicia A. Sedillo 0153141 Temporary License Ciana B. Sedillo 0142791 Licensed Mental Health Counselor Nic L. Sedillo 0143981 Licensed Mental Health Counselor Theresa L. Seffrin 0114581 Licensed Mental Health Counselor Maggie M. Segovia-Osollo 4000 Substance Abuse Associate David M. Segura 0699 Alcohol and Drug Counselor Susan C. Sehr 0108151 Clinical Mental Health Counselor (LPCC) Lana L. Self 0121971 Clinical Mental Health Counselor (LPCC) Kathleen O'Donnell Semerad 0143761 Alcohol and Drug Counselor Kathleen O'Donnell Semerad 0145511 Licensed Mental Health Counselor Erika M. Sena 0154991 Substance Abuse Associate Gabriel J Sena 0556 Clinical Mental Health Counselor (LPCC) Maria V. Sena 0138461 Professional Mental Health Counselor Martha L. Senna 0141461 Substance Abuse Associate Rita Arlene Sepeda Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10901 Constitution Ave. NE Albuquerque NM 87112 Bernalillo Null and Void 04/06/2012 11/30/2012 PO Box 495 Belen NM 87002 Valencia Active 09/07/2012 09/30/2013 8800 Peony Ct NE Albuquerque NM 87113 Bernalillo Active 08/26/2011 09/30/2014 522 S. St. Francis Santa Fe NM 87501 Santa Fe Active 10/06/2011 09/30/2016 1814 Windsor Place Las Cruces NM 88005 Dona Ana Active 06/19/2008 09/30/2014 221 Santa Fe Drive Raton NM 87740 Colfax Active 02/28/1997 09/30/2014 6060 N Via del Tecaco Tucson AZ 85718 Pima Active 06/30/1994 09/30/2013 6130 Richmond Ave. Dallas TX 75214 Dallas Active 10/04/2007 09/30/2014 609 Zuni, #1 Taos NM 87571 Taos Active 03/27/2009 09/30/2013 609 Zuni, #1 Taos NM 87571 Taos Active 10/03/2011 09/30/2013 9504 Sundoro Pl. NW Albuquerque NM 87120 Bernalillo Active 12/12/2011 09/30/2013 Po Box 291 805 Garwood Texico NM 88135 Curry Active 11/20/2012 09/30/2014 804 Smith Lane Las Vegas NM 87701 San Miguel Active 09/30/1994 09/30/2014 10523 Vista Bella Pl. NW Albuquerque NM 87114 Bernalillo Active 03/08/2011 09/30/2014 404 Shipp Dr. Hobbs NM 88240 Lea Active 07/13/2011 09/30/2014 Page 278 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0151071 Jessica T. Sepulveda 0142441 Temporary License Reba June Serafin 0144721 Licensed Mental Health Counselor Andrew L. Serefine 0077581 Licensed Mental Health Counselor Andrea Yvonne Serna-Garcia 0100091 Substance Abuse Associate Andrea Yvonne Serna-Garcia 0093101 Licensed Mental Health Counselor Brian G. Serna 0130451 Alcohol and Drug Counselor Brian G. Serna 0087651 Clinical Mental Health Counselor (LPCC) Sherrijean Marie Serna 0128231 Alcohol and Drug Counselor Ashley Lynn Serrano 0151801 Substance Abuse Associate Ashley Lynn Serrano 0110051 Alcohol and Drug Counselor Kim M. Servent 3107 Clinical Mental Health Counselor (LPCC) Saguna Severson 0153451 Professional Mental Health Counselor Jaime S. Seyffert 0129491 Temporary License Diedre Ann Shaffer 4640 Licensed Mental Health Counselor Kay G. Shaffer Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2127 N. Cielo Dr. Hobbs NM 88240 Lea Active 06/22/2012 01/31/2013 612 Ortega Rd. NW Albuquerque NM 87114 Bernalillo Active 08/16/2011 09/30/2014 7 Vera Cruz Cedar Crest NM 87008 Bernalillo Active 11/07/2011 09/30/2013 825 Calle Mejia Apt. 1124 Santa Fe NM 87501 Santa Fe Expired 12/01/2004 09/30/2009 825 Calle Mejia Apt. 1124 Santa Fe NM 87501 Santa Fe Active 01/17/2007 09/30/2014 2904 Avenida Alamosa Santa Fe NM 87507 Santa Fe Active 05/22/2006 09/30/2013 2904 Avenida Alamosa Santa Fe NM 87507 Santa Fe Active 03/17/2010 09/30/2013 P.O. Box 1236 Espanola NM 87532 Rio Arriba Active 10/31/2005 09/30/2014 1409 N. Tasker Dr. Hobbs NM 88240 Lea Active 12/21/2009 09/30/2013 1409 N. Tasker Dr. Hobbs NM 88240 Lea Active 07/30/2012 09/30/2013 2501 West Zia Rd. #8-206 Santa Fe NM 87505 Santa Fe Active 12/18/2007 09/30/2013 2 Calle Francisca Santa Fe NM 87507 Santa Fe Active 06/30/2000 09/30/2013 536 Stonebluff Rd. El Paso TX 79912 El Paso Active 09/17/2012 04/30/2013 11409 Haines NE Albuquerque NM 87112 Bernalillo Active 02/10/2010 09/30/2013 299 Sandia Rd. NW Albuquerque NM 87107 Bernalillo Retired 06/30/1998 09/30/2012 Page 279 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0374 Samuel H. Shaffer 0086351 Clinical Mental Health Counselor (LPCC) Susan Deborah Shaffer 0075951 Clinical Mental Health Counselor (LPCC) Alexander J. Shaia 0106521 Professional Mental Health Counselor Mary M. Shanahan 0152701 Clinical Mental Health Counselor (LPCC) Kelly M. Shane 0154071 Licensed Mental Health Counselor Kelly M. Shane 006195 Temporary License Gene Shapiro 0148 Clinical Mental Health Counselor (LPCC) James R. Shapiro 2872 Clinical Mental Health Counselor (LPCC) Steven M. Shapiro 0119931 Clinical Mental Health Counselor (LPCC) Cynthia Sharif 0147741 Alcohol and Drug Counselor Kathleen Marie Sharkey 0069691 Clinical Mental Health Counselor (LPCC) Sharon Sollars 389 CEU Provider Certificate Robert L. Sharp 0090651 Clinical Mental Health Counselor (LPCC) Maureen Anne Shaughnessy 0120061 Clinical Mental Health Counselor (LPCC) Jessica Lea Shaw Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 22597 Santa Fe NM 87502 Santa Fe Active 06/30/1994 09/30/2014 P.O. Box 28273 Santa Fe NM 87592 Santa Fe Active 02/02/2005 09/30/2014 1000 Cordova Pl. #459 Santa Fe NM 87505 Santa Fe Active 09/20/2004 09/30/2013 1209 Vitalia St. Santa Fe NM 87505 Santa Fe Active 08/09/2007 09/30/2014 2923 Quail Pt NW Albuquerque NM 87120 Bernalillo Active 08/24/2012 09/30/2013 2923 Quail Pt NW Albuquerque NM 87120 Bernalillo Active 10/11/2012 05/31/2013 1448 S. St. Francis Drive Santa Fe NM 87505 Santa Fe Expired 08/31/2002 09/30/2009 3624 Chelwood Blvd. NE Albuquerque NM 87111 Bernalillo Active 08/30/1994 09/30/2014 2703 St. Paul Street Baltimore MD 21218 Baltimore City Active 05/31/1998 09/30/2014 1535 Arbor Court Carlsbad NM 88220 Eddy Active 01/23/2009 09/30/2013 104 Paseo Nopal Santa Fe NM 87507 Santa Fe Active 03/05/2012 09/30/2013 6209 Hendrix NE Albuquerque NM 87110 Bernalillo Active 01/31/2004 01/31/2010 7939 4th Street NW, Trlr. 34 Albuquerque NM 87114-1045 Bernalillo Expired 05/31/1994 09/30/1997 825 Omaha NE Albuquerque NM 87123 Bernalillo Expired 03/06/2006 09/30/2009 108 Service Rd. Ruidoso NM 88345 Lincoln Active 02/02/2009 09/30/2013 Page 280 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3439 Kelli D. Shaw 0090091 Alcohol and Drug Counselor Tracy R. Shaw 0141901 Substance Abuse Associate Tracy R. Shaw 0129001 Alcohol and Drug Counselor Carl J. Shearer 0740 Clinical Mental Health Counselor (LPCC) Bonnie A. Sheehan 0154691 Professional Mental Health Counselor Debbie J. Shehorn 0094521 Clinical Mental Health Counselor (LPCC) Alisha Shelbourn 0084141 Art Therapist Douglas A Shelly 0149311 Alcohol and Drug Counselor Blair W. Shepard 0144101 Clinical Mental Health Counselor (LPCC) Blair W. Shepard 0003 Art Therapist Shelly M. Shepherd 0343 Clinical Mental Health Counselor (LPCC) M. Diann Sheppard 0113311 Clinical Mental Health Counselor (LPCC) M. Hari Sheppeard 0084711 Alcohol and Drug Counselor Robert S. Sher 0151181 Marriage and Family Therapist Robin D. Sherard Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 1475 Ruidoso NM 88355 Lincoln Active 01/31/1997 09/30/2013 8213 San Joaquin SE Albuquerque NM 87108 Bernalillo Expired 02/14/2006 09/30/2009 8213 San Joaquin SE Albuquerque NM 87108 Bernalillo Active 07/26/2011 09/30/2014 NMHU Box 9713 Las Vegas NM 87701 San Miguel Active 01/25/2010 09/30/2013 2232 Matthew NW Albuquerque NM 87104 Bernalillo Active 06/30/1994 09/30/2014 4982 Hwy 6 Riesel TX 76682 McLennan Active 11/05/2012 09/30/2014 1084 Camino Vista Aurora Santa Fe NM 87507 Santa Fe Active 07/03/2006 09/30/2013 P.O. Box 501 Tyrone NM 88065-0501 Grant Active 07/15/2005 09/30/2014 PO Box 24201 Santa Fe NM 87502 Santa Fe Active 04/18/2012 09/30/2013 PO Box 24201 Santa Fe NM 87502 Santa Fe Active 10/13/2011 09/30/2013 740 Parkside Dr. NE Albuquerque NM 87123 Bernalillo Active 04/30/1994 09/30/2013 131 Rincon Loop Tijeras NM 87059 Bernalillo Active 06/30/1994 09/30/2013 13219 Mountain Pl. NE #B Albuquerque NM 87112 Bernalillo Active 05/06/2008 09/30/2014 P.O. Box 25904 Albuquerque NM 87125 Bernalillo Active 08/05/2005 09/30/2014 801 Canterbury Arc Las Cruces NM 88005 Dona Ana Active 06/27/2012 01/31/2013 Page 281 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0704 Ann Sheridan 5176 Clinical Mental Health Counselor (LPCC) Barbara E. Sherman 0155051 Marriage and Family Therapist Kristy J. Sherrick 0104581 Substance Abuse Associate Donald Jan Sherry 0110461 Professional Mental Health Counselor Kristene C. Sheryl 0150221 Alcohol and Drug Counselor John J. Shields 4347 Alcohol and Drug Counselor Lisa J. Shields 0962 Licensed Mental Health Counselor Behjat Shirazi 1744 Clinical Mental Health Counselor (LPCC) Jane S. Shoenfeld 0124501 Art Therapist Mutsumi Shoji 0147331 Art Therapist Mutsumi Shoji 0112581 Temporary License Gerald Shorty 0156181 Licensed Mental Health Counselor Corine Shotgun 0154911 Substance Abuse Associate Francesca Louise Shrady 1049 Licensed Mental Health Counselor Rosemarie E. Shratter Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 3212 1/2 La Avenida de San Marcos Santa Fe NM 87507 Santa Fe Active 07/31/1994 09/30/2014 P.O. Box 2128 Ranchos De Taos NM 87557-2128 Taos Active 06/30/2000 09/30/2014 1009 Zuni Dr. Alamogordo NM 88310 Otero Active 11/27/2012 09/30/2014 1271 Villa Drive SE Rio Rancho NM 87124 Sandoval Active 06/15/2007 09/30/2014 PO Box 854 Bayard NM 88023 Grant Active 01/17/2008 09/30/2013 513 Aliso Dr. NE Albuquerque NM 87108 Bernalillo Active 05/25/2012 09/30/2013 5133 Wilt Avenue Las Cruces NM 88011 Dona Ana Active 12/31/1997 09/30/2013 082 Prestley Place Corrales NM 87048 Sandoval Active 07/31/1994 09/30/2014 P.O. Box 5912 Santa Fe NM 87502 Santa Fe Active 07/31/1994 09/30/2014 2718 Calle Cedro Santa Fe NM 87505 Santa Fe Active 07/16/2009 09/30/2013 2718 Calle Cedro Santa Fe NM 87505 Santa Fe Active 02/16/2012 09/30/2012 208 High Street NE Apt L Albuquerque NM 87102 Bernalillo Active 04/04/2008 09/30/2014 PO Box 121 Fruitland NM 87416 San Juan Active 01/14/2013 09/30/2014 3174 La Avenida de San Marcos Santa Fe NM 87507 Santa Fe Active 11/16/2012 09/30/2014 1916 Griegos NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2013 Page 282 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0146071 Brett A. Shumway 005691 Licensed Mental Health Counselor Kylee J. Shurter 1770 Clinical Mental Health Counselor (LPCC) Siaki J. Siamu 3986 Professional Mental Health Counselor Bernice E. Sice 0133641 Alcohol and Drug Counselor Andrew C. Sidoli 0149561 Alcohol and Drug Counselor Lisa M Sieben 0154701 Temporary License Lisa M Sieben 0141661 Temporary License Audrey D. Siegal 1873 Alcohol and Drug Counselor Julius M. Siegel 0141971 Clinical Mental Health Counselor (LPCC) Catherine C. Siegrist 0109601 Clinical Mental Health Counselor (LPCC) Judy Diane Siems 0155981 Alcohol and Drug Counselor Sierra Vista Hospital 0105031 CEU Provider Certificate Archie R. Silago 0095311 Licensed Mental Health Counselor Blythe Jane Silano 2159 Clinical Mental Health Counselor (LPCC) Kelley A. Siler Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2301 El Camino Real #602 Las Cruces NM 88007 Dona Ana Active 01/10/2012 09/30/2013 P.O. Box 2997 Corrales NM 87048 Sandoval Expired 09/30/2001 09/30/2009 #5 Owens Drive Los Lunas NM 87031 Valencia Active 09/30/1994 09/30/2014 P.O. Box 515 Casa Blanca NM 87007 Cibola Active 07/31/1997 09/30/2014 3900 Elfego Road NW Albuquerque NM 87107 Bernalillo Active 07/21/2010 09/30/2013 637 Charleston NE Albuquerque NM 87108 Bernalillo Null and Void 04/26/2012 11/30/2012 637 Charleston NE Albuquerque NM 87108 Bernalillo Active 11/07/2012 06/30/2013 614 La Casa de Prasa Dr SE Rio Rancho NM 87124 Sandoval Active 07/18/2011 09/30/2014 324 W. Ethel Las Cruces NM 88005 Dona Ana Active 07/31/1994 09/30/2013 1343 Crrida De Agua Santa Fe NM 87507 Santa Fe Active 08/02/2011 09/30/2013 4890 Galina Drive Las Cruces NM 88012 Dona Ana Expired 12/04/2007 09/30/2009 800 E. 9th Ave. Truth or Consequences NM 87901 Sierra Active 01/03/2013 09/30/2014 P.O. Box 3344 Gallup NM 87305 McKinley Active 06/29/2007 09/30/2014 933 Camino de Chelly Santa Fe NM 87505 Santa Fe Active 08/08/2006 09/30/2013 177 Silver Hills Road Santa Fe NM 87508 Santa Fe Active 07/31/1994 09/30/2013 Page 283 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005681 Ramona Maria Silkwood 0103271 Clinical Mental Health Counselor (LPCC) Mark Anthony Silla 0110661 Clinical Mental Health Counselor (LPCC) Theresa Silow 0092821 Clinical Mental Health Counselor (LPCC) Adrian Silva 0087451 Alcohol and Drug Counselor Barbara M. Silva 0124 Clinical Mental Health Counselor (LPCC) Dario D. Silva 0065932 Clinical Mental Health Counselor (LPCC) Eva Silva 0150931 Clinical Mental Health Counselor (LPCC) Sandra Jean Silverman 199 Licensed Mental Health Counselor Alice B. Silverstein 0200 Art Therapist Alice B. Silverstein 0137151 Marriage and Family Therapist Danielle M. Simmons 0137741 Licensed Mental Health Counselor Danielle M. Simmons 0076021 Licensed Mental Health Counselor Emma Caroline Simmons 0116421 Licensed Mental Health Counselor Emma Caroline Simmons 0130601 Clinical Mental Health Counselor (LPCC) Lisa Camille Simmons Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 2518 Ranchos de Taos NM 87557 Taos Active 06/30/2001 09/30/2013 P.O. Box 833 Tucumcari NM 88401 Quay Active 04/27/2007 09/30/2014 5784 Owl Hill Ave. Santa Rosa CA 95409 Sonoma Active 01/28/2008 09/30/2013 9009 Shoshone Rd NE Albuquerque NM 87111 Bernalillo Active 05/16/2006 09/30/2013 3500 California NE Albuquerque NM 87110 Bernalillo Active 10/25/2005 09/30/2014 5104 Silver King Rd. Las Cruces NM 88011 Dona Ana Active 06/30/1994 09/30/2014 3721 Cuervo Ct. NW Albuquerque NM 87107 Bernalillo Active 02/28/2003 09/30/2014 1617 Hoffman Dr. NE Albuquerque NM 87110 Bernalillo Active 06/20/2012 09/30/2013 2908 Trellis Drive NW Albuquerque NM 87107 Bernalillo Expired 07/31/1994 09/30/1995 2908 Trellis Drive NW Albuquerque NM 87107 Bernalillo Active 06/30/1994 09/30/2014 219B Haozous Road Santa Fe NM 87508 Santa Fe Active 01/05/2011 09/30/2014 219B Haozous Road Santa Fe NM 87508 Santa Fe Active 02/01/2011 09/30/2014 1726 Camino De La Vuelta Santa Fe NM 87501 Santa Fe Expired 09/21/2004 09/30/2009 1726 Camino De La Vuelta Santa Fe NM 87501 Santa Fe Active 08/27/2008 09/30/2014 1817 Gallinas Rd. NE Rio Rancho NM 87144 Sandoval Active 03/24/2010 09/30/2013 Page 284 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0155401 Lisa Camille Simmons 1051 Temporary License Jeanne H. Simonoff 0098 Clinical Mental Health Counselor (LPCC) Jean K. Simpson 0081081 Clinical Mental Health Counselor (LPCC) Mark S. Simpson, Psy.D. 0279 Alcohol and Drug Counselor Phoenix H. Simpson 0115201 Marriage and Family Therapist Allene K. Sinclair 0098521 Clinical Mental Health Counselor (LPCC) Theresa Marie Singer 0112291 Clinical Mental Health Counselor (LPCC) William H. Singer 0146691 Marriage and Family Therapist Dee Sirbasku 0085851 Clinical Mental Health Counselor (LPCC) Alton Ray Sircy 4088 Clinical Mental Health Counselor (LPCC) B. "Nash" Sisneros 0123851 Licensed Mental Health Counselor Michael A. Sisneros 0065 Licensed Mental Health Counselor Nancy L. Sisson 0095231 Clinical Mental Health Counselor (LPCC) Rebecca E. Skeele 0110611 Clinical Mental Health Counselor (LPCC) Deborah Ann Skinner Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1817 Gallinas Rd. NE Rio Rancho NM 87144 Sandoval Active 12/06/2012 07/31/2013 22 Chapala Road Santa Fe NM 87508 Santa Fe Active 07/31/1994 09/30/2013 2201 NE, 1st Place Cape Coral FL 33909-4246 Lee Expired 04/30/1994 09/30/2000 4527 Los Valles Dr. NW Albuquerque NM 87120 Bernalillo Active 04/18/2005 09/30/2014 10 Haven Dr Cedar Crest NM 87008 Bernalillo Active 07/31/1994 09/30/2013 503 Villa Verde Drive SE Rio Rancho NM 87124 Sandoval Active 07/14/2008 09/30/2014 3104 Grassland Dr. SW Albuquerque NM 87121 Bernalillo Active 11/21/2006 09/30/2013 17715 NE 26 Street Redmond WA 98052 King Active 03/28/2008 09/30/2014 125 Groove Creek Waco TX 76708 McLennan Active 01/25/2012 09/30/2013 P.O. Box 2516 Silver City NM 88062 Grant Active 09/06/2005 09/30/2014 837 Swinging Spear Roswell NM 88201 Chaves Active 02/28/1997 09/30/2014 942 East Pueblo Espanola NM 87532 Rio Arriba Active 06/19/2009 09/30/2013 P.O. Box 280 Flora Vista NM 87415 San Juan Active 06/30/1994 09/30/2013 339 Plaza Balentine Santa Fe NM 87501 Santa Fe Active 08/07/2006 09/30/2013 10425 Prestwick NE Albuquerque NM 87111 Bernalillo Active 01/25/2008 09/30/2014 Page 285 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0128991 Lisa A. Skoler 0147661 Marriage and Family Therapist Shira M. Skybinskyy-Brown 0118571 Clinical Mental Health Counselor (LPCC) Veronica A. Slade 005430 Clinical Mental Health Counselor (LPCC) Jane Ann Brigetta Slinger 0108681 Professional Mental Health Counselor Jared Andrew Sloan 0111911 Alcohol and Drug Counselor William Allen Sluyter 0110501 Licensed Mental Health Counselor Sharon Guzzetti Smaga 0153821 Marriage and Family Therapist Small Steps Child Counseling 0127961 CEU Provider Certificate Lora Smalley 0083641 Marriage and Family Therapist Anthony P. Smarrella 1052 Clinical Mental Health Counselor (LPCC) Linda E. Smarrella 0112521 Clinical Mental Health Counselor (LPCC) Susan B. Smith-Pierce 0107841 Clinical Mental Health Counselor (LPCC) Monica A. Smith-Teal 0093321 Professional Mental Health Counselor Alison Sage Smith 006052 Licensed Mental Health Counselor Barbara A. Smith Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1608 Carlisle Blvd. NE, Apt. A Albuquerque NM 87110 Bernalillo Active 01/22/2010 09/30/2013 12157 NW 36th Pl. Sunrise FL 33323 Broward Active 03/02/2012 09/30/2013 202 No. Miranda St. Las Cruces NM 88005 Dona Ana Active 12/01/2008 09/30/2014 315 Cuadro St. SE Albuquerque NM 87123 Bernalillo Active 08/31/2000 09/30/2014 2101 N. Adobe Hobbs NM 88240 Lea Active 10/26/2007 09/30/2014 3115 North Garden Ave. Roswell NM 88201 Chaves Active 03/10/2008 09/30/2014 52 White Oaks Street Alamogordo NM 88310 Otero Active 01/22/2008 09/30/2013 1805 Carlisle Blvd. NE Albuquerque NM 87110 Bernalillo Active 10/02/2012 09/30/2013 5515 Kachina St. NW Albuquerque NM 87120 Bernalillo Active 12/04/2009 09/30/2013 P.O. Box 1175 Tijeras NM 87059 Bernalillo Active 07/07/2005 09/30/2014 16 El Refujio Tijeras NM 87059 Bernalillo Active 07/31/1994 09/30/2014 4708 Royene Avenue NE Albuquerque NM 87110 Bernalillo Active 04/03/2008 09/30/2014 536 Terrace Dr. NE Rio Rancho NM 87124 Sandoval Active 09/28/2007 09/30/2014 639 1/2 Galisteo Street Santa Fe NM 87505 Santa Fe Active 06/11/2006 09/30/2013 P.O. Box 51692 Albuquerque NM 87181 Bernalillo Active 12/31/2002 09/30/2014 Page 286 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0096261 Barbara Leigh Smith 1629 Clinical Mental Health Counselor (LPCC) Cheri M. Smith 0099461 Clinical Mental Health Counselor (LPCC) Christina J. Smith 4246 Alcohol and Drug Counselor Deanna J. Smith 5174 Marriage and Family Therapist Dianne H. Smith 0102461 Licensed Mental Health Counselor Donald Smith 2318 Alcohol and Drug Counselor Ellen K. Smith 0128321 Professional Mental Health Counselor Jennifer Gamble Smith 0148281 Licensed Mental Health Counselor Juanita A. Smith 2033 Temporary License Laun C. Smith 0135091 Clinical Mental Health Counselor (LPCC) Marcus Smith 005418 Licensed Mental Health Counselor Marla J. Smith 0147841 Clinical Mental Health Counselor (LPCC) Mavis Smith 0156151 Temporary License Mavis Smith 0152111 Temporary License Melissa J. Smith Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 912 Turner Dr. NE Albuquerque NM 87123 Bernalillo Active 09/07/2006 09/30/2013 P.O. Box 2960 Corrales NM 87048 Sandoval Retired 07/31/1994 09/30/2009 6774 Camino Rojo Santa Fe NM 87507 Santa Fe Active 12/26/2006 09/30/2014 2300 Via Granada Pl. NW Albuquerque NM 87104 Bernalillo Active 06/30/1998 09/30/2014 2124 Sagecrest Ave. Las Cruces NM 88011 Dona Ana Active 06/30/2000 09/30/2014 13400 Lomas Blvd Apt # 205 A Albuquerque NM 87112 Bernalillo Active 04/03/2007 09/30/2014 4254 Dancing Ground Road Santa Fe NM 87507 Santa Fe Active 09/30/1994 09/30/2014 12 Caminito De Pinon Santa Fe NM 87505 Santa Fe Active 12/23/2009 09/30/2013 3019 South Socorro Deming NM 88030 Luna Active 03/22/2012 03/31/2013 2701 W. Picacho Ave. Ste. 4 Las Cruces NM 88007 Dona Ana Active 09/30/1994 09/30/2013 904 Laurelwood Clovis NM 88101 Curry Active 09/20/2010 09/30/2013 10216 Hackamore Pl. SW Albuquerque NM 87121 Bernalillo Active 03/31/2001 09/30/2014 PO Box 1501 Gallup NM 87305 McKinley Null and Void 03/13/2012 10/31/2012 PO Box 1501 Gallup NM 87305 McKinley Active 01/11/2013 08/31/2013 PO Box 91861 Albuquerque NM 87199 Bernalillo Active 08/14/2012 09/30/2013 Page 287 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0131601 Meredith L. Smith 0127341 Licensed Mental Health Counselor Patricia Ann Smith 3050 Clinical Mental Health Counselor (LPCC) Richard Smith 0963 Clinical Mental Health Counselor (LPCC) Teresa S. Smith 4252 Clinical Mental Health Counselor (LPCC) Julienne Smrcka 0133781 Clinical Mental Health Counselor (LPCC) David M. Snell 1263 Substance Abuse Associate Ed L. Snider 3310 Clinical Mental Health Counselor (LPCC) Dawn K. Snuggerud 1876 Clinical Mental Health Counselor (LPCC) Linda M. Snyder 0135361 Clinical Mental Health Counselor (LPCC) Mary Snyder 0143871 Licensed Mental Health Counselor Suanna E Snyder 0154681 Temporary License Tyson B. Snyder 0082651 Clinical Mental Health Counselor (LPCC) Wayne M. Snyder 0134581 Professional Mental Health Counselor Solace Crisis Treatment Center 0112231 CEU Provider Certificate Ricardo A. Solis Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8933 Guadalupe Trail NW Albuquerque NM 87114 Bernalillo Active 04/26/2010 09/30/2013 10800 Chaco Terrace St. NW Albuquerque NM 87114 Bernalillo Active 11/04/2009 09/30/2013 126 E Pinal Street Huachuca City AZ 85616 Cochise Retired 05/31/1998 09/30/2008 4508 La Redonda Street Las Cruces NM 88011 Dona Ana Active 07/31/1994 09/30/2013 6513 Guadalupe Trl. NW Albuquerque NM 87107 Bernalillo Active 12/31/1998 09/30/2014 323 Stanford SE Apt. D Albuquerque NM 87106 Bernalillo Active 07/26/2010 09/30/2013 P.O. Box 7381 Las Cruces NM 88006 Dona Ana Active 07/31/1994 09/30/2013 #8 CR 6065 Farmington NM 87401 San Juan Active 05/31/1998 09/30/2014 601 Bryn Mawr NE Albuquerque NM 87106 Bernalillo Active 12/31/1998 09/30/2014 9632 Bolack Dr. NE Albuquerque NM 87109 Bernalillo Active 10/13/2010 09/30/2014 627 B Salazar St. Santa Fe NM 87505 Santa Fe Active 10/06/2011 05/31/2012 3004 Municipal Drive Farmington NM 87401 San Juan Active 11/05/2012 09/30/2014 313 W. Sunday Dr. Deming NM 88030 Luna Active 06/13/2005 09/30/2014 6601 Valentine Way Santa Fe NM 87507 Santa Fe Active 08/27/2010 09/30/2013 6033 Quail Ave. El Paso TX 79924 El Paso Active 03/25/2008 09/30/2014 Page 288 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0145201 Ricardo A. Solis 0152491 Temporary License Ricardo A. Solis 0965 Temporary License Sharon (Sherri) L. Sollars 0111381 Clinical Mental Health Counselor (LPCC) Ishwari Sollohub 0113131 Licensed Mental Health Counselor Somatic Therapy Institute/Star Blacker 3091 CEU Provider Certificate Julie Ann Sonnenberg 0105511 Professional Mental Health Counselor Kyoko Sonoda 0092631 Professional Mental Health Counselor Trudy Marie Soole 0143381 Alcohol and Drug Counselor Trudy Marie Soole 4226 Licensed Mental Health Counselor David A. Sorensen 0111271 Clinical Mental Health Counselor (LPCC) Silvania Sorrelhorse 0147951 Substance Abuse Associate Sandra Sorrell 0155551 Licensed Mental Health Counselor Sandra Sorrell 0124061 Marriage and Family Therapist Jana Lyn Sorroche 0129291 Clinical Mental Health Counselor (LPCC) Erica G Soskin Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 6033 Quail Ave. El Paso TX 79924 El Paso Null and Void 11/30/2011 06/30/2012 6033 Quail Ave. El Paso TX 79924 El Paso Null and Void 08/21/2012 03/31/2013 1530 Carpenter Drive Bosque Farms NM 87068 Valencia Active 06/30/1994 09/30/2013 1222-D Senda Del Valle Santa Fe NM 87507 Santa Fe Active 02/14/2008 09/30/2014 546 Harkle Road Suite B Santa Fe NM 87505 Santa Fe Active 04/28/2008 09/30/2013 1300 Hillside Drive Los Lunas NM 87031 Valencia Active 01/31/2000 09/30/2013 12915 Desert Moon Place, NE Albuquerque NM 87111 Bernalillo Active 07/17/2007 09/30/2014 1004 39th Street SE Rio Rancho NM 87124 Sandoval Active 05/05/2006 09/30/2013 1004 39th Street SE Rio Rancho NM 87124 Sandoval Active 09/19/2011 09/30/2013 615 Lafayette Drive NE Albuquerque NM 87106 Bernalillo Active 08/31/1999 09/30/2014 2011 Troy King Rd # 444 Farmington NM 87401 San Juan Active 02/11/2008 09/30/2014 7000 Louisiana Blvd. NE Apt. 903 Albuquerque NM 87109 Bernalillo Active 03/19/2012 09/30/2013 7000 Louisiana Blvd. NE Apt. 903 Albuquerque NM 87109 Bernalillo Active 12/10/2012 09/30/2014 6717 Beck Dr. NE Albuquerque NM 87109 Bernalillo Active 07/02/2009 09/30/2013 8201 Trumbull SE, Unit B Albuquerque NM 87108 Bernalillo Active 02/01/2010 09/30/2013 Page 289 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0148151 Donna M. Soto 0119521 Temporary License Lisa J. Soule 0128981 Clinical Mental Health Counselor (LPCC) Douglas Stephen Southern 0111661 Clinical Mental Health Counselor (LPCC) Southwestern College 0139621 CEU Provider Certificate Katherine Z. Souza 0114541 Marriage and Family Therapist Kristine S. Souza 2330 Marriage and Family Therapist Sarah S. Sower 3327 Clinical Mental Health Counselor (LPCC) Mae L. Spahr 0091381 Licensed Mental Health Counselor Natalie N. Spain 1062 Marriage and Family Therapist Vivia Sparkler 0124851 Clinical Mental Health Counselor (LPCC) Richard Spas 0102551 Substance Abuse Associate Elizabeth Susan Speaker 0139581 Clinical Mental Health Counselor (LPCC) Michele Ann Spear 0112711 Temporary License Angela Spears 0153421 Clinical Mental Health Counselor (LPCC) Megan J. Speciale Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 9304 Lait Drive El Paso TX 79925 El Paso Active 03/21/2012 03/31/2013 1 Periwinkle Place Santa Fe NM 87508 Santa Fe Active 01/16/2009 09/30/2013 500 N. Main, Suite 610 Roswell NM 88201 Chaves Active 01/22/2010 09/30/2013 P.O. BOX 4788 Santa Fe NM 87502 Santa Fe Active 02/26/2008 09/30/2013 4095 Bella Sierra Court Las Cruces NM 88011 Dona Ana Active 04/28/2011 09/30/2014 4605 5th St NW Albuquerque NM 87107 Bernalillo Active 06/18/2008 09/30/2014 440 Gavilan Pl. NW Albuquerque NM 87107 Bernalillo Active 04/30/1995 09/30/2014 P.O. Box 872 Sandia Park NM 87047 Bernalillo Active 08/31/1996 09/30/2013 3600 Cerrillos Rd., # 205 Santa Fe NM 87507 Santa Fe Active 03/20/2006 09/30/2013 3025 Delano Place NE Albuquerque NM 87106 Bernalillo Retired 07/31/1994 09/30/2014 P.O. Box 1408 Taos NM 87571 Taos Active 07/27/2009 09/30/2013 7262 Pelona Ct. 1400 Barbara Lp #F Rio Rancho NM 87144 5905 Camino De La Luna NW Albuquerque NM 87120 Sandoval Active 04/11/2007 09/30/2014 Bernalillo Null and Void 04/21/2011 09/30/2012 1920 Fairfield Avenue Clovis NM 88101 Curry Active 04/07/2008 09/30/2014 216 Columbia Dr. SE Apt. C Albuquerque NM 87106 Bernalillo Active 09/17/2012 09/30/2013 Page 290 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0146681 Tawna S. Speer 0966 Clinical Mental Health Counselor (LPCC) Cheryl L. Speir-Phillips 0150691 Clinical Mental Health Counselor (LPCC) Ashley M Spencer 0090 Licensed Mental Health Counselor Bruce J. Spencer 0134871 Clinical Mental Health Counselor (LPCC) Cynthia Kathryn Spencer 0112801 Clinical Mental Health Counselor (LPCC) Thomas Darrell Spencer, Jr. 3933 Licensed Mental Health Counselor Ricardo P. Spencer 0081721 Alcohol and Drug Counselor Susan Spensley 0148251 Clinical Mental Health Counselor (LPCC) Pamela K. Sperandio 0131651 Temporary License Nicole M. Speropolous 0127281 Art Therapist Roxane Burch Spicer 0096721 Alcohol and Drug Counselor Michael R. Spitzer 0104751 Alcohol and Drug Counselor Charles N. Spivey 0153991 Clinical Mental Health Counselor (LPCC) Angele Spratley 0111991 Licensed Mental Health Counselor Janice Lynn Spratte Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 401 Tall Grass Ln. Clovis NM 88101 Curry Active 01/25/2012 09/30/2013 4774 HWY 15 #15 Pinos Altos NM 88053 Grant Active 06/30/1994 09/30/2014 200 Bannock Dr. Lovington NM 88260 Lea Active 06/12/2012 09/30/2013 7001 Seaview Avenue NW, Ste 160 #518 Seattle WA 98117 5016 Sala de Tomas Dr. NW Albuquerque NM 87120 King Active 05/31/1994 09/30/2014 Bernalillo Active 09/13/2010 09/30/2014 824 N. Cherokee Avenue Black Mountain NC 28711 Buncombe Active 04/09/2008 09/30/2014 P.O. Box 606 Mentmore NM 87319 McKinley Active 01/31/1999 09/30/2013 4907 Calle de Carino NE Albuquerque NM 87111 Bernalillo Active 12/06/2005 09/30/2014 1200 Encino Ave. Grants NM 87020 Cibola Active 03/21/2012 10/31/2012 773 D Haywood Rd Asheville NC 28806 Buncombe Active 04/29/2010 09/30/2013 P.O. Box 256 Continental Divide NM 87312 McKinley Active 11/02/2009 09/30/2013 1809 Boston Dr. Las Cruces NM 88001 Dona Ana Active 09/20/2006 09/30/2013 P.O. Box 93411 Albuquerque NM 87199 Bernalillo Active 06/19/2007 09/30/2014 12531 La Crosse St. White Sands Missile Range NM 88002 Dona Ana Active 10/10/2012 09/30/2014 1950 Crane PL. SE Rio Rancho NM 87124 Sandoval Active 03/13/2008 09/30/2014 Page 291 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154111 Patricia Ann Spurio 0111411 Temporary License Sandra E. Spurlock 3494 Marriage and Family Therapist Sara C. Sroufe 3477 Alcohol and Drug Counselor Stewart D. Sroufe 2714 Alcohol and Drug Counselor Kamerin St. Claire 2721 Clinical Mental Health Counselor (LPCC) Kamerin St. Claire 0119421 Marriage and Family Therapist Patricia Norene St. Clare 3888 Marriage and Family Therapist Corky St. James 0126941 Alcohol and Drug Counselor Stacey Frymier 0068702 CEU Provider Certificate Charles B. Stacey 0150331 Marriage and Family Therapist Amy B. Stack 0153671 Temporary License Amy B. Stack 0375 Temporary License Emily J. Stafford 3459 Clinical Mental Health Counselor (LPCC) Emily J. Stafford 0153721 Alcohol and Drug Counselor Pamela K. Stafford Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 43 Camino Vista Grande Santa Fe NM 87508 Santa Fe Active 10/15/2012 05/31/2013 2320 Camino de los Artesanos, NW Albuquerque NM 87107 Bernalillo Active 02/14/2008 09/30/2014 P.O. Box 5185 Hobbs NM 88241 Lea Active 03/31/1997 09/30/2014 6216 Davis Lane Hobbs NM 88242 Lea Active 01/31/1997 09/30/2013 #3 Red Thorn Pl. Santa Fe NM 87508 Santa Fe Active 07/31/1994 09/30/2014 #3 Red Thorn Pl. Santa Fe NM 87508 Santa Fe Active 09/30/1994 09/30/2014 518 Old Santa Fe Trail PMB 233 Santa Fe NM 87505 2405 Figueroa Drive NE Albuquerque NM 87112-1914 Santa Fe Active 01/13/2009 09/30/2013 Bernalillo Active 01/31/1997 09/30/2014 1712 Avenida Cristobal Colon Santa Fe NM 87501 Santa Fe Active 10/26/2009 09/30/2013 3701 Piedra Vista Farmington NM 87402 San Juan Active 01/31/2004 09/30/2013 5741 Osuna Rd. NE Albuquerque NM 87109 Bernalillo Null and Void 05/30/2012 12/31/2012 5741 Osuna Rd. NE Albuquerque NM 87109 Bernalillo Active 09/25/2012 04/30/2013 704 Cardenas Drive. NE Albuquerque NM 87108 Bernalillo Active 08/30/1994 09/30/2013 704 Cardenas Drive. NE Albuquerque NM 87108 Bernalillo Active 01/31/1997 09/30/2013 745 Adobe Lane Los Lunas NM 87031 Valencia Active 09/25/2012 04/30/2013 Page 292 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0096381 Patrick H. Stafford 4772 Clinical Mental Health Counselor (LPCC) Virginia Elmer Stafford 0096031 Clinical Mental Health Counselor (LPCC) Pamela J. Stanley 0102841 Clinical Mental Health Counselor (LPCC) Mary E. Stanton 0119951 Alcohol and Drug Counselor Eve Starbridge 0151361 Clinical Mental Health Counselor (LPCC) Cortny M. Stark 0148861 Substance Abuse Associate Loyce L. Starke 0153221 Temporary License Loyce L. Starke 0091661 Temporary License Faith L. Starkweather 0126571 Clinical Mental Health Counselor (LPCC) Tonja Lynne Starritt 0144611 Alcohol and Drug Counselor Diana L. Stearns 0128011 Licensed Mental Health Counselor Cynthia Jean Stechmeyer 0344 Clinical Mental Health Counselor (LPCC) Ralph M. Steele 5269 Marriage and Family Therapist DeAun M. Steely 0064711 Substance Abuse Associate Walter Ray Steely Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 220 Vista Del Rey Dr. Vado NM 88072 Dona Ana Active 09/08/2006 09/30/2013 600 Central SE #225 Albuquerque NM 87102 Bernalillo Active 06/30/2000 09/30/2014 5620 Bosque Vista Drive NE Albuquerque NM 87111 Bernalillo Active 08/30/2006 09/30/2013 7201 Quail Springs Place NE Albuquerque NM 87113 Bernalillo Active 04/16/2007 09/30/2014 1709 1/2 West Alameda St. Santa Fe NM 87501 Santa Fe Active 01/26/2009 09/30/2013 4701 El Alamo Ct. Rio Rancho NM 87124 Sandoval Active 07/06/2012 09/30/2013 1024 Park Ave SW Albuquerque NM 87102 Bernalillo Null and Void 04/06/2012 11/30/2012 1024 Park Ave SW Albuquerque NM 87102 Bernalillo Active 09/10/2012 04/30/2013 12 Brittany Lane Edgewood NM 87015 Santa Fe Active 03/28/2006 09/30/2013 PO Box 944 Fort Sumner NM 88119-0944 De Baca Active 10/08/2009 09/30/2013 5405 Rawlings Rd. NE Albuquerque NM 87111 Bernalillo Active 11/02/2011 09/30/2013 5036 Apex Mine Trail Las Cruces NM 88011 Dona Ana Active 12/09/2009 09/30/2013 P.O. Box 9286 Santa Fe NM 87504 Santa Fe Active 05/31/1994 09/30/2014 1532 Edwards St. El Paso TX 79903 El Paso Active 03/31/2000 09/30/2013 205 Longhorn Drive El Paso TX 79907 El Paso Expired 11/30/2002 09/30/2009 Page 293 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0125891 Karla Kay Steen 0150641 Licensed Mental Health Counselor Karla Kay Steen 0111611 Clinical Mental Health Counselor (LPCC) Steffie Grow 0104991 CEU Provider Certificate Sharon J. Steinborn 0130071 Marriage and Family Therapist Susan Ann Steiner 0142881 Licensed Mental Health Counselor Stella Krauss 0099841 CEU Provider Certificate Silvia A. Stenitzer 0143571 Licensed Mental Health Counselor Stephanie Crosser 0105311 CEU Provider Certificate K. Dianne Stephens 4273 Clinical Mental Health Counselor (LPCC) Larry Stephens 0106671 Clinical Mental Health Counselor (LPCC) Rebekah J. Stephens 0086081 Clinical Mental Health Counselor (LPCC) Autumn V. Stephenson-Rios 0085701 Marriage and Family Therapist Cyndi A. Stephenson 2957 Licensed Mental Health Counselor David Lewis Sterling 2320 Clinical Mental Health Counselor (LPCC) Adam R. Stern Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1925 Anita Drive Las Cruces NM 88001 Dona Ana Active 09/11/2009 09/30/2013 1925 Anita Drive Las Cruces NM 88001 Dona Ana Active 06/12/2012 09/30/2013 89 La Barbaria Rd Santa Fe NM 87505 Santa Fe Expired 02/26/2008 09/30/2009 P.O. Box 1406 Fairacres NM 88033 Dona Ana Active 06/27/2007 09/30/2014 PO Box 15 Tesuque NM 87574 Santa Fe Active 02/25/2010 09/30/2013 8000 Sierra Azul NE Albuquerque NM 87110 Bernalillo Active 09/01/2011 09/30/2013 2001 Fort Union Drive Santa Fe NM 87505 Santa Fe Active 01/11/2007 09/30/2014 13204 Bighorn Rd NE Albuquerque NM 87111 Bernalillo Active 09/29/2011 09/30/2013 340 Solana Rd. SE Deming NM 88030 Luna Active 07/11/2007 09/30/2014 5530 Shady Oak Street Dayton OH 45424 Montgomery Retired 05/31/1998 09/30/2009 PO Box 733 Ruidoso NM 88355 Lincoln Active 08/15/2007 09/30/2014 P.O. Box 1462 Santa Cruz NM 87567 Santa Fe Active 09/12/2005 09/30/2014 905 W. Caprock St. Hobbs NM 88240 Lea Active 09/06/2005 09/30/2014 30 Wagon Trail Roswell NM 88201 Chaves Active 11/30/1995 09/30/2013 1240 Pennsylvania NE, Suite C Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 Page 294 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0153771 Elizabeth W. Stern 0304 Temporary License Paula M. Stern 0110201 Clinical Mental Health Counselor (LPCC) Steven H. Wong 0138271 CEU Provider Certificate Steven M. Jenkusky, MD 0091851 CEU Provider Certificate Carol L. Stevens 1118 Professional Mental Health Counselor Georgia D. Stevens 0099361 Clinical Mental Health Counselor (LPCC) Kathy M. Stevens 0106661 Clinical Mental Health Counselor (LPCC) Madeleine Noel Stevens 0121691 Art Therapist Madeleine Noel Stevens 0137721 Clinical Mental Health Counselor (LPCC) Sara Stevens 3491 Marriage and Family Therapist Laurie A. Stevenson 0132831 Alcohol and Drug Counselor Catherine A. Stewart 2155 Clinical Mental Health Counselor (LPCC) David J. Stewart 0129881 Professional Mental Health Counselor Kathleen Rose Stewart 0156131 Licensed Mental Health Counselor Michael J. Stibick Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 545 Ranchos de Taos NM 87557 Taos Active 09/26/2012 04/30/2013 7711 Rio Grande NW Los Ranchos NM 87107 Bernalillo Active 06/30/1994 09/30/2014 1400 Carlisle Blvd. NE Suite A Albuquerque NM 87110 8300 Constitution NE Kaseman Hospital Behavioral Health Albuquerque NM 87110 2331 Alvarado Drive NE Albuquerque NM 87110-4017 Bernalillo Active 12/27/2007 09/30/2013 Bernalillo Active 02/28/2011 09/30/2013 Bernalillo Active 04/03/2006 09/30/2013 5615 Alder Drive NW Albuquerque NM 87114 Bernalillo Active 06/30/1994 09/30/2014 10836 Fairchester Drive Fairfax VA 22030 Fairfax City Retired 12/21/2006 09/30/2009 9 Camino de San Felipe Placitas NM 87043 Sandoval Active 08/15/2007 09/30/2014 9 Camino de San Felipe Placitas NM 87043 Sandoval Active 03/17/2009 09/30/2013 P.O. Box 2601 Fort Defiance AZ 86504 Apache Active 01/31/2011 09/30/2014 902 Fruit Ave. NW Albuquerque NM 87102 Bernalillo Active 01/31/1997 09/30/2013 P.O. Box 268 1110 W. Taos Hobbs NM 88241 705 Felicidad Ln., 8021 NDCBU Taos NM 87571 Lea Active 06/11/2010 09/30/2013 Taos Active 03/31/1995 09/30/2013 8809 Thor Rd. SW Albuquerque NM 87121 Bernalillo Active 02/19/2010 09/30/2013 1414 S. Union, E-7 Roswell NM 88203 Chaves Active 01/11/2013 09/30/2014 Page 295 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 3329 Bob G. Stice 0115881 Clinical Mental Health Counselor (LPCC) Vicki Kaye Stiles 2329 Clinical Mental Health Counselor (LPCC) Minda J. Stillings 0147601 Professional Mental Health Counselor Kirstin M. Stillwell 0147381 Licensed Mental Health Counselor Mary Louise Stinson 0155941 Clinical Mental Health Counselor (LPCC) Shelley S. Stisser 0105211 Clinical Mental Health Counselor (LPCC) Karen S. Stockham 0070951 Clinical Mental Health Counselor (LPCC) Susanne Beth Stockman 0106501 Clinical Mental Health Counselor (LPCC) Marilyn Stolzman 0152181 Marriage and Family Therapist Carmen T. Stone 0093371 Substance Abuse Associate George Alexander Stone 0109281 Marriage and Family Therapist Jan Stone 0115601 Clinical Mental Health Counselor (LPCC) Sherel Jo Stone 2315 Marriage and Family Therapist Maria L. Stops 006244 Clinical Mental Health Counselor (LPCC) Joseph C. Stopyak Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1113 Glorieta St. NE Albuquerque NM 87112 Bernalillo Active 12/31/1997 09/30/2013 HC 34, Box 2GG Sapello NM 87745 San Miguel Active 08/04/2008 09/30/2014 1420 Bryn Mawr Drive NE Albuquerque NM 87106 Bernalillo Active 08/30/1994 09/30/2013 1412 Fruit NW Albuquerque NM 87104 Bernalillo Active 02/29/2012 09/30/2013 PO Box 24053 Santa Fe NM 87502 Santa Fe Active 02/24/2012 09/30/2013 9342 S. 182nd Ln. Goodyear AZ 85338 Maricopa Active 01/02/2013 09/30/2014 9024 Aspen NE Albuquerque NM 87112 Bernalillo Active 07/03/2007 09/30/2014 369 Montezuma Ave., #937 Santa Fe NM 87501 Santa Fe Active 02/29/2004 09/30/2013 23487 Park Sorrento, #11 Calabasas CA 91302 Los Angeles Active 08/09/2007 09/30/2014 80 Cordesa Rd. Santa Fe NM 87508 Santa Fe Active 08/15/2012 09/30/2013 P.O. Box 201 High Rolls Mountain Park NM 88325 Otero Active 06/12/2006 09/30/2013 P.O. Box 94976 Albuquerque NM 87199-4976 Bernalillo Active 11/19/2007 09/30/2013 P.O. Box 201 High Rolls Mountain Park NM 88325 Otero Active 07/29/2008 09/30/2014 600 W Las Cruces Avenue Las Cruces NM 88004 Dona Ana Active 11/30/1994 09/30/2013 559 Calle Don Demetrio NE Los Lunas NM 87031 Valencia Active 01/31/2003 09/30/2014 Page 296 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0140841 Jasmine V. Storey 0741 Licensed Mental Health Counselor Sarah C. Stout 0141031 Clinical Mental Health Counselor (LPCC) Jessica E. Strader 0110641 Licensed Mental Health Counselor Cindy Louise Stroka 0078081 Alcohol and Drug Counselor Philip Strom 1645 Alcohol and Drug Counselor Victoria M. Stromee 0146471 Clinical Mental Health Counselor (LPCC) Jason B. Struthers 0068162 Licensed Mental Health Counselor Cynthia L. Stuart-White 0079941 Art Therapist Cynthia L. Stuart-White 3866 Professional Mental Health Counselor Janis E. Stuart 3020 Alcohol and Drug Counselor Leona K. Stucky-Abbott 0195 Clinical Mental Health Counselor (LPCC) Patricia L. Stull 3419 Clinical Mental Health Counselor (LPCC) John B. Stuppy 5009 Alcohol and Drug Counselor Megan Sturges 0091161 Art Therapist Megan Sturges Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4101 Ojos Negros Dr. NW Albuquerque NM 87120 Bernalillo Active 06/16/2011 09/30/2014 1317 Luana Street Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2013 619 16th Street Albuquerque NM 87104 Bernalillo Active 06/23/2011 09/30/2014 11708 Nambe Ave NE Albuquerque NM 87123 Bernalillo Active 01/28/2008 09/30/2014 1466 Avenida De Las Americas Santa Fe NM 87507 Santa Fe Active 12/17/2004 09/30/2013 3697 N Sunterra Ct Tucson AZ 85719 Pima Active 07/31/1994 09/30/2013 721 Purple Aster Rd. Los Lunas NM 87031 Valencia Active 01/19/2012 09/30/2013 11904 Fulmer Dr NE Albuquerque NM 87111 Bernalillo Active 10/31/2003 09/30/2014 11904 Fulmer Dr NE Albuquerque NM 87111 Bernalillo Active 03/08/2005 09/30/2014 1458 State Street Raton NM 87740 Colfax Active 03/31/1997 09/30/2014 140 Mesa Vista Santa Fe NM 87501 Santa Fe Active 05/31/1996 09/30/2014 P.O. Box 932 Tucumcari NM 88401 Quay Active 07/31/1994 09/30/2013 2891 Clark Court Santa Fe NM 87507 Santa Fe Active 02/28/1997 09/30/2013 346 Tyler Road NW Albuquerque NM 87107 Bernalillo Active 01/31/2000 09/30/2013 346 Tyler Road NW Albuquerque NM 87107 Bernalillo Active 03/15/2006 09/30/2013 Page 297 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0123521 Jesus R. Suarez 0461 Licensed Mental Health Counselor Robert A. Sugar 0077911 Professional Mental Health Counselor Dennis Sullivan 0115061 Substance Abuse Associate Kathryn A. Sullivan 0325 Alcohol and Drug Counselor Lee A. Sullivan 1452 Clinical Mental Health Counselor (LPCC) Robert L. Sullivan 0087141 Marriage and Family Therapist Linda K. Summers 0084441 Professional Mental Health Counselor Susan Benjamin 0073761 CEU Provider Certificate Susan D. Pollock 0074821 CEU Provider Certificate Susan Malone, LPCC 0150711 CEU Provider Certificate Susan Smith-Pierce 0498 CEU Provider Certificate Brenda N. Susman 0137031 Marriage and Family Therapist Susy K. Ashcroft 0063171 CEU Provider Certificate Kathy J. Sutherland-Bruaw 2160 Substance Abuse Associate Elaine K. Sutton Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 283 Dublin Lane Alamogordo NM 88310 Otero Active 06/08/2009 09/30/2013 1624 Hendola NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2013 901 Bro. Mathias Place NW Albuquerque NM 87102 Bernalillo Active 12/10/2004 09/30/2013 820 26th Avenue NE Rio Rancho NM 87144 Sandoval Active 07/11/2008 09/30/2014 7317 Golden Hawk Dr. El Paso TX 79912 El Paso Expired 06/30/1994 09/30/2009 1400 Barbara Loop Suite I Rio Rancho NM 87124 Sandoval Active 03/31/1995 09/30/2014 P.O. Box 3172 Albuquerque NM 87190 Bernalillo Active 10/11/2005 09/30/2014 234 1/2 Ambrosio Street Santa Fe NM 87501 Santa Fe Active 07/26/2005 09/30/2013 2990 N. Main Ste. 3A Las Cruces NM 88001 Dona Ana Active 05/31/2004 09/30/2013 1233 Don Francisco PL. NW Albuquerque NM 87107 Bernalillo Active 07/26/2004 09/30/2013 4708 Royene Ave. NE Albuquerque NM 87110 Bernalillo Active 06/14/2012 09/30/2013 1740 Black River Drive NE Rio Rancho NM 87144 Sandoval Active 06/30/1994 09/30/2014 420 Cherokee Rd. NW Albuquerque NM 87107 Bernalillo Active 12/30/2010 09/30/2013 P.O. BOX 1014 Abiquiu NM 87510 Rio Arriba Expired 04/30/2002 09/30/2009 P.O. Box 43 El Prado NM 87529 Taos Active 07/31/1994 09/30/2013 Page 298 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0092291 Susan Christine Sutton 4219 Clinical Mental Health Counselor (LPCC) Margaret A. Swaim 0109521 Clinical Mental Health Counselor (LPCC) Sheila Ann Swain 0154 Clinical Mental Health Counselor (LPCC) Julie D. Swanson 0090911 Clinical Mental Health Counselor (LPCC) Lee G. Swanson 2026 Marriage and Family Therapist Paul Swanson 0089971 Professional Mental Health Counselor Joseph E. Sweeney 0109351 Professional Mental Health Counselor Joseph E. Sweeney 0135131 Alcohol and Drug Counselor Jenni Lyn Swenson 0153511 Art Therapist Jenni Lyn Swenson 0215 Temporary License Maboud Charles Swierkosz 0131461 Clinical Mental Health Counselor (LPCC) Laura Lynn Swofford 0221 Marriage and Family Therapist Bobby W. Sykes 005475 Clinical Mental Health Counselor (LPCC) Jeffrey Szalay 005856 Clinical Mental Health Counselor (LPCC) Jeffrey Szalay Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 8 Ute Lane Santa Fe NM 87505 Santa Fe Active 04/24/2006 09/30/2013 4860 Quail Run Las Cruces NM 88001 Dona Ana Active 12/31/1997 09/30/2013 787 State Rd. 344 Edgewood NM 87015 Santa Fe Active 12/03/2007 09/30/2013 2344 E 16th Street Farmington NM 87401 San Juan Active 05/31/1994 09/30/2014 216 Gonzales Road Santa Fe NM 87501 Santa Fe Active 03/14/2006 09/30/2013 1189 Laurel Loop NE Albuquerque NM 87122 Bernalillo Active 08/30/1994 09/30/2014 P.O. Box 190 Vanderwagen NM 87326 McKinley Active 02/09/2006 09/30/2013 P.O. Box 190 Vanderwagen NM 87326 McKinley Active 11/19/2007 09/30/2013 42 Ojitos Trl. Espanola NM 87532 Rio Arriba Active 09/20/2010 09/30/2014 42 Ojitos Trl. Espanola NM 87532 Rio Arriba Active 09/18/2012 04/30/2013 2367 Ruta Corta Santa Fe NM 87507 Santa Fe Active 08/30/1994 09/30/2013 8101 Gem Pointe Road SW Albuquerque NM 87121 Bernalillo Active 04/20/2010 09/30/2013 7219 Calle Montana Albuquerque NM 87113 Bernalillo Active 07/31/1994 09/30/2013 1410 Girard NE #55 Apt. 30 Albuquerque NM 87106 1410 Girard NE #55 Apt. 30 Albuquerque NM 87106 Bernalillo Active 03/31/2001 09/30/2013 Bernalillo Active 02/29/2004 09/30/2013 Page 299 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0125831 Robert Clay Szenasi 0137381 Licensed Mental Health Counselor Karen Suzanne Szlapka 0109951 Alcohol and Drug Counselor Nancy M. Tabet 0372 Clinical Mental Health Counselor (LPCC) Christy Tackwell 0085781 Art Therapist Christy Tackwell 0075601 Clinical Mental Health Counselor (LPCC) Helen Tafoya-Barraza 3859 Clinical Mental Health Counselor (LPCC) Ben J. Tafoya 0103741 Alcohol and Drug Counselor Ben J. Tafoya 0107751 Clinical Mental Health Counselor (LPCC) Cindy H. Tafoya 3461 Clinical Mental Health Counselor (LPCC) Robert L. Tafoya 0101021 Alcohol and Drug Counselor Marc A. Talbert 3467 Licensed Mental Health Counselor Jayne Talk-Sanchez 1454 Alcohol and Drug Counselor Judy E. Talley 3893 Clinical Mental Health Counselor (LPCC) Matthew J. Tandy 0096241 Alcohol and Drug Counselor Matthew J. Tandy Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 36868 Albuquerque NM 87176 Bernalillo Active 09/09/2009 09/30/2013 1443 Golden Eye Lp Rio Rancho NM 87144 Sandoval Active 01/19/2011 09/30/2014 1122 E. Atlantic Ave., E2 Delray Beach FL 33483 Palm Beach Expired 12/17/2007 09/30/2009 14109 Grand Ave NE Albuquerque NM 87123 Bernalillo Active 05/30/1994 09/30/2014 14109 Grand Ave NE Albuquerque NM 87123 Bernalillo Active 09/06/2005 09/30/2014 2224 Meadow View Pl. NW Albuquerque NM 87104 Bernalillo Active 09/10/2004 09/30/2013 622 Romolo Lane Taos NM 87571 Taos Active 02/28/1997 09/30/2013 622 Romolo Lane Taos NM 87571 Taos Active 05/16/2007 09/30/2013 11516 Nassau N.E. Albuquerque NM 87111 Bernalillo Active 09/26/2007 09/30/2013 PO Box 215 Edgewood NM 87015 Santa Fe Retired 01/31/1997 09/30/2009 P.O. Box 847 Santa Fe NM 87504 Santa Fe Active 02/15/2007 09/30/2014 P.O. Box 2707 Shiprock NM 87420 San Juan Active 01/31/1997 09/30/2013 609 11th st nw Albuquerque NM 87102 Bernalillo Active 07/31/1994 09/30/2014 2803 Dietz Place Albuquerque NM 87107 Bernalillo Active 02/28/1997 09/30/2013 2803 Dietz Place Albuquerque NM 87107 Bernalillo Active 09/07/2006 09/30/2013 Page 300 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0112771 Mari Robyn Tankenoff 0499 Clinical Mental Health Counselor (LPCC) Robert M. Tanner, Ph. D 0147241 Marriage and Family Therapist Pearl J. Tapaha 0144081 Substance Abuse Associate Melissa A. Tarazon 005780 Alcohol and Drug Counselor Dineke Jecel Tarin 0089071 Professional Mental Health Counselor Donna M. Tarro 4334 Clinical Mental Health Counselor (LPCC) George A. Tate 0269 Professional Mental Health Counselor Susan L. Tatum 0142831 Clinical Mental Health Counselor (LPCC) Shadee E. Tavanaiepour-Brown 2752 Licensed Mental Health Counselor Robin Tawney 006292 Licensed Mental Health Counselor Elizabeth M. Taylor Kuitu 2087 Clinical Mental Health Counselor (LPCC) Robin Taylor Pfaff 0086601 Clinical Mental Health Counselor (LPCC) Amber A. Taylor 0136381 Professional Mental Health Counselor Angela Sue Taylor 0261 Clinical Mental Health Counselor (LPCC) Corinne L. Taylor Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2431 Cedar Lane Minneapolis MN 55416 Hennepin Active 04/09/2008 09/30/2014 3783 Manchester Dr. NW Albuquerque NM 87107 Bernalillo Active 12/31/1994 09/30/2013 PO Box 322 Continental Divide NM 87312 McKinley Active 02/15/2012 09/30/2013 P.O. Box 692 Chama NM 87520 Rio Arriba Active 10/13/2011 09/30/2014 48 Joe Nestor Road Edgewood NM 87015 Santa Fe Active 03/31/2001 09/30/2014 213 W. Mesa Ave. Gallup NM 87301 McKinley Active 01/06/2006 09/30/2014 7 Condesa Road Santa Fe NM 87508 Santa Fe Retired 03/31/1998 09/30/2008 921 E. 21St., Ste.D Clovis NM 88101 Curry Active 06/30/1994 09/30/2013 2266 Cortina Loop SE Rio Rancho NM 87124 Sandoval Active 08/30/2011 09/30/2014 1102 Madison St. SE Albuquerque NM 87108-4414 Bernalillo Active 01/31/1995 09/30/2014 1719 N Oriole Ct. Hobbs NM 88240 Lea Active 02/28/2003 09/30/2014 1677 Stone Mountain Lane Las Cruces NM 88011 Dona Ana Active 05/31/1996 09/30/2013 P.O. Box 1646 El Prado NM 87529 Taos Active 09/23/2005 09/30/2014 2112 NW Britni Cir. Lawton OK 73505 Comanche Active 11/24/2010 09/30/2014 38 Elk Point Durango CO 81301 La Plata Expired 06/30/1994 09/30/2003 Page 301 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0096731 Cynthia Marie Taylor 0130141 Licensed Mental Health Counselor Elizabeth A. Taylor 3458 Substance Abuse Associate Jamie R. Taylor 0058001 Alcohol and Drug Counselor Jamie R. Taylor 2751 Clinical Mental Health Counselor (LPCC) Marcia Frances Taylor 0087061 Art Therapist Marcia J. Taylor 0149301 Professional Mental Health Counselor Michelle S. Taylor 0089091 Clinical Mental Health Counselor (LPCC) Reese Ellen Taylor 0105171 Clinical Mental Health Counselor (LPCC) Thomas Allan Taylor 0095401 Professional Mental Health Counselor Valerie C. Taylor 0742 Clinical Mental Health Counselor (LPCC) Sarah S. Teasdale 3661 Clinical Mental Health Counselor (LPCC) Sarah S. Teasdale 0225 Alcohol and Drug Counselor Claudette Tedrick 1750 Clinical Mental Health Counselor (LPCC) Marcie A. Telander 0096931 Professional Mental Health Counselor Shannon L. Telles-Reynolds Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 5014 Cordoniz St. NW Albuquerque NM 87120 Bernalillo Active 09/20/2006 09/30/2013 1406 West Tilden St. Roswell NM 88203 Chaves Active 03/02/2010 09/30/2013 3027 Diamantes NW Albuquerque NM 87120 Bernalillo Active 01/31/1997 09/30/2014 3027 Diamantes NW Albuquerque NM 87120 Bernalillo Active 02/28/2002 09/30/2013 420 Musket Drive Morrisville PA 19067-4907 Bucks Active 09/30/1994 09/30/2013 3014 Plaza Blanca Santa Fe NM 87507 Santa Fe Active 10/07/2005 09/30/2014 2554 Ashmore Circle #26 Thousand Oaks CA 91362 Ventura Active 04/18/2012 09/30/2013 1000 Cordova Pl. #804 Santa Fe NM 87505 Santa Fe Active 01/06/2006 09/30/2013 5014 Cordoniz St. NW Albuquerque NM 87120 Bernalillo Active 07/03/2007 09/30/2013 10620 Royal Troon NE Albuquerque NM 87111 Bernalillo Active 08/10/2006 09/30/2013 19 Dalton Trail Sandia Park NM 87047 Bernalillo Active 07/31/1994 09/30/2014 19 Dalton Trail Sandia Park NM 87047 Bernalillo Active 06/30/1997 09/30/2013 812 Paradise Lane Hobbs NM 88240 Lea Expired 07/31/1994 09/30/2003 P.O. 1101 Crested Butte CO 81224 Gunnison Active 07/31/1994 09/30/2013 5800 North View NW Albuquerque NM 87120 Bernalillo Active 09/25/2006 09/30/2013 Page 302 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0108851 Diana M. Telles 0588 Marriage and Family Therapist Patricia M. Telles 0124561 Clinical Mental Health Counselor (LPCC) Sally M. Telles 0398 Alcohol and Drug Counselor Phyllis J. Rems Tempest 0149831 Clinical Mental Health Counselor (LPCC) Charlene Kaye Templet 0153331 Temporary License Charlene Kaye Templet 0155321 Temporary License Luanne Templeton 0154641 Licensed Mental Health Counselor Jeanine Ten Broeck 0153271 Clinical Mental Health Counselor (LPCC) Ernestine Anne Tennefos 0121591 Clinical Mental Health Counselor (LPCC) Amber Joy Tenorio 0151631 Licensed Mental Health Counselor Beverly Ann Tenorio 0138771 Clinical Mental Health Counselor (LPCC) Joe D. Terrazas 0148611 Clinical Mental Health Counselor (LPCC) Terry Griffin 0086301 CEU Provider Certificate Andrea Terry 0090271 Clinical Mental Health Counselor (LPCC) Rossi C. Terry Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 901 S Espanola St. Las Cruces NM 88001 Dona Ana Active 11/01/2007 09/30/2014 631 W. Sunset Rd El Paso TX 79922 El Paso Active 07/31/1994 09/30/2014 1940 Chilton Drive Las Cruces NM 88001 Dona Ana Active 07/20/2009 09/30/2013 1127 Boggio Dr. Gallup NM 87301 McKinley Active 06/30/1994 09/30/2014 2121 Southern Star Loop Las Cruces NM 88011 Dona Ana Null and Void 05/07/2012 12/31/2012 2121 Southern Star Loop Las Cruces NM 88011 Dona Ana Active 09/12/2012 04/30/2013 105 Carrejo Rd. Bosque NM 87006 Socorro Active 11/30/2012 09/30/2014 813 Calle Anaya S. Apt. A Santa Fe NM 87505 Santa Fe Active 11/01/2012 09/30/2014 930 West 17th St. Portales NM 88130 Roosevelt Active 09/10/2012 09/30/2013 P.O. Box 604 Casa Blanca NM 87007 Cibola Active 03/16/2009 09/30/2013 2832 Cloudcroft Circle Las Cruces NM 88011 Dona Ana Active 07/19/2012 09/30/2013 5615 Redwolf Lane Las Cruces NM 88007 Dona Ana Active 03/21/2011 09/30/2014 11 Pleasant View Valencia Active 03/30/2012 09/30/2013 P.O. Box 241 El Prado NM 87529 Taos Active 09/15/2005 09/30/2014 044 South Roosevelt Rd., AD Portales NM 88130 Roosevelt Active 02/16/2006 09/30/2013 Page 303 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0115211 Victoria L. Tewa 0134471 Clinical Mental Health Counselor (LPCC) Linda Sue Thayer 0080761 Clinical Mental Health Counselor (LPCC) The Center for Effective Interventions 0153841 CEU Provider Certificate The Counseling Center, Inc. 0108761 CEU Provider Certificate The Enhancement Center P.C. 3774 CEU Provider Certificate Patricia L. Therriault 0135551 Alcohol and Drug Counselor Jomo Z. Thomas II 0132681 Alcohol and Drug Counselor Jomo Z. Thomas II 0119661 Marriage and Family Therapist Thomas R. Peterson, Ph.D 4680 CEU Provider Certificate Felicia S. Thomas-Spaulding 0132611 Clinical Mental Health Counselor (LPCC) Anderson Thomas 0152331 Clinical Mental Health Counselor (LPCC) Bryan K Thomas 4015 Clinical Mental Health Counselor (LPCC) Dr. Garry Thomas 0151571 Alcohol and Drug Counselor Edward H Thomas 3658 Licensed Mental Health Counselor Kenneth Thomas Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10500 Redbud Street NW Albuquerque NM 87114 Bernalillo Active 07/14/2008 09/30/2014 P.O. Box 555 Las Vegas NM 87701 San Miguel Active 08/24/2010 09/30/2013 900 Auraria Parkway, Suite 129 Denver CO 80204 Denver Active 04/05/2005 09/30/2013 1900 E. 10th St. Alamogordo NM 88310 Otero Active 10/02/2012 09/30/2013 4004 Carlisle Blvd NE Ste. A2 Albuquerque NM 87107 208 Cerro De Ortega Drive Rio Rancho NM 87124 Bernalillo Active 10/29/2007 09/30/2013 Sandoval Active 01/31/1997 09/30/2014 920 Loma Pinon Ln. Rio Rancho NM 87144 Sandoval Active 10/18/2010 09/30/2013 920 Loma Pinon Ln. Rio Rancho NM 87144 Sandoval Active 06/09/2010 09/30/2013 7910 Bosque St. N.W. Los Ranchos NM 87114 Bernalillo Active 01/20/2009 09/30/2013 17 Alta Ct Edgewood NM 87015 Santa Fe Active 12/31/1998 09/30/2014 P.O. Box 51 Pinehill NM 87357 Cibola Active 06/04/2010 09/30/2013 PO Box 291 Arroyo Seco NM 87514 Taos Active 08/17/2012 09/30/2013 510 St. Francis Drive Santa Fe NM 87501 Santa Fe Active 07/31/1997 09/30/2013 46 Vista De Las Sandias Placitas NM 87043 Sandoval Active 07/17/2012 09/30/2013 P.O. Box 355 Laguna NM 87026 Cibola Active 01/31/1997 09/30/2014 Page 304 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0156211 Marie L. Thomas 1646 Licensed Mental Health Counselor Patria L. Thomas 0145061 Clinical Mental Health Counselor (LPCC) Tara Lee Thomas 0136301 Clinical Mental Health Counselor (LPCC) Aimee N. Thompson 0112631 Licensed Mental Health Counselor Barbara A. Thompson 2871 Alcohol and Drug Counselor Bonnie F. Thompson 1180 Clinical Mental Health Counselor (LPCC) Debra R. Thompson 006067 Clinical Mental Health Counselor (LPCC) Debra R. Thompson 0088751 Art Therapist Ellyn F. Thompson 0127101 Alcohol and Drug Counselor Janis A. Thompson 2745 Alcohol and Drug Counselor Mary F. Thompson 4736 Clinical Mental Health Counselor (LPCC) Pamela A. Thompson 0069222 Substance Abuse Associate Pamela A. Thompson 0066282 Licensed Mental Health Counselor Samantha R. Thompson 0147001 Professional Mental Health Counselor James J. Thomson Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 116 Edith Blvd. NE Albuquerque NM 87102 Bernalillo Active 01/15/2013 09/30/2014 3200 Casa Rinconada Santa Fe NM 87507 Santa Fe Active 02/28/1995 09/30/2014 2424 Palomas Dr. NE Albuquerque NM 87110 Bernalillo Active 11/22/2011 09/30/2013 10701 Ranchitos Rd. Albuquerque NM 87122 Bernalillo Active 11/19/2010 09/30/2014 300-2 McCombs Road, PMB 74 Chaparral NM 88081 Dona Ana Active 04/04/2008 09/30/2014 1114-B South 4th Artesia NM 88210 Eddy Expired 11/30/1995 09/30/2009 3224 1/2 Avenida De San Marcos Santa Fe NM 87507 Santa Fe Active 06/30/1994 09/30/2014 3224 1/2 Avenida De San Marcos Santa Fe NM 87507 Santa Fe Active 02/28/2002 09/30/2013 79 Cielo Azul Los Lunas NM 87031 Valencia Active 12/27/2005 09/30/2014 5243 Cochise Trl. Las Cruces NM 88012-9737 Dona Ana Active 10/28/2009 09/30/2013 110 Park Ave. Santa Fe NM 87501 Santa Fe Active 10/31/1994 09/30/2013 P.O. Box 369 Church Rock NM 87311 McKinley Active 01/31/1999 09/30/2014 P.O. Box 369 Church Rock NM 87311 McKinley Active 12/31/2003 09/30/2014 12101 Rosemont Ave. NE Albuquerque NM 87112 Bernalillo Active 04/30/2003 09/30/2014 2102 Lyon Ave. Belmont CA 94002 San Mateo Active 02/06/2012 09/30/2013 Page 305 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0484 Robert D. Thomson 0087591 Clinical Mental Health Counselor (LPCC) Karey C. Thorne 0116071 Clinical Mental Health Counselor (LPCC) Jane C. Thornton 0154471 Clinical Mental Health Counselor (LPCC) Threshold GlobalWorks (TGW), LLC 0068962 CEU Provider Certificate Katherine Thrift 4349 Clinical Mental Health Counselor (LPCC) Jean Eva Thumm 0082511 Marriage and Family Therapist Wilhelmina Grayson Thunderchief 0235 Clinical Mental Health Counselor (LPCC) John H. Thurman, Jr. 0067512 Clinical Mental Health Counselor (LPCC) Jill-Marie Tiedemann 0067712 Clinical Mental Health Counselor (LPCC) Maria A. Tiffany 1647 Marriage and Family Therapist Kathy F. Tilley 2878 Clinical Mental Health Counselor (LPCC) Janis R. Timm-Bottos, Ph.D. 0099491 Art Therapist Barbara A. Timm 2741 Clinical Mental Health Counselor (LPCC) Ronald L. Timmcke 3907 Clinical Mental Health Counselor (LPCC) Ronald L. Timmcke Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 705 Camino Del Bosque NW Albuquerque NM 87114 Bernalillo Active 06/30/1994 09/30/2014 41 Verano Loop Santa Fe NM 87508 Santa Fe Active 10/27/2005 09/30/2014 717 Candelaria Road NW #U Albuquerque NM 87107 Bernalillo Active 08/13/2008 09/30/2014 270 Loma Entrada Santa Fe NM 87501 Santa Fe Active 10/29/2012 09/30/2013 P.O. Box 6537 Santa Fe NM 87502 Santa Fe Active 12/31/2003 09/30/2014 30 Estambre Road Santa Fe NM 87508 Santa Fe Active 01/31/1999 09/30/2013 13170 B Central SE, 129 Albuquerque NM 87123 Bernalillo Active 06/09/2005 09/30/2014 7220 Minuteman Dr. NE Albuquerque NM 87109 Bernalillo Active 08/30/1994 09/30/2013 123 Candelario Street Santa Fe NM 87501 Santa Fe Active 08/31/2003 09/30/2014 207 E. Buena Vista St. Santa Fe NM 87505 Santa Fe Active 07/31/2003 09/30/2014 2715 Eastridge Dr., N.E. Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2013 Retired 11/30/1997 09/30/2008 Bernalillo Active 12/26/2006 09/30/2014 13204 Silver Peak Place NE Albuquerque NM 87111 Bernalillo Active 08/07/1995 09/30/2013 13204 Silver Peak Place NE Albuquerque NM 87111 Bernalillo Active 04/30/1997 09/30/2013 Kutenal Art Therapy Institute 2A-601 Front Street Nelson, BC, V1L 4B6 Canada 8500 Hannett Ave. NE Albuquerque NM 87112 Page 306 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0140261 Rachel L. Timmerman 0132871 Substance Abuse Associate Lance R. Tingle 1751 Clinical Mental Health Counselor (LPCC) Leonard A. Tischler 0120621 Professional Mental Health Counselor Nancy Elizabeth Tisdel 0142871 Licensed Mental Health Counselor Tita Gervers, Office of Student Wellness 0114121 CEU Provider Certificate Santana M. Titla 3086 Alcohol and Drug Counselor Carolyn Tjoland 0155931 Clinical Mental Health Counselor (LPCC) Sherri Lyn Tobin 3162 Clinical Mental Health Counselor (LPCC) Nora B. Toftely-Loken 1056 Clinical Mental Health Counselor (LPCC) Christopher S. Tokarski 2750 Clinical Mental Health Counselor (LPCC) Kathryn Toledo 0150191 Professional Mental Health Counselor Christopher L Tolland 3999 Temporary License Cristobal E. Tollardo 0079291 Alcohol and Drug Counselor Theresa L. Tolth 0971 Substance Abuse Associate Valerie L. Tomberlin Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 421 Tesuque NM 87574 Santa Fe Active 05/24/2011 09/30/2014 P.O. Box 2652 Gallup NM 87305 McKinley Active 06/14/2010 09/30/2013 1904 San Ildefonso Rd. Santa Fe NM 87505 Santa Fe Active 07/31/1994 09/30/2013 1215 Sulzbacher St. Las Vegas NM 87701 San Miguel Active 02/19/2009 09/30/2014 610 Alta Vista Santa Fe NM 87505 Santa Fe Active 09/01/2011 09/30/2013 P.O. Box 551 Acoma NM 87034 Valencia Active 05/30/2008 09/30/2014 P.O. Box 23302 Santa Fe NM 87502 Santa Fe Active 05/31/1996 09/30/2014 855 Riddlewood Ln. Highlands Ranch CO 80129 Douglas Active 01/02/2013 09/30/2014 4550 Real Del Sur Las Cruces NM 88011 Dona Ana Active 05/31/1998 09/30/2014 1100 W. 21st Clovis NM 88101 Curry Active 06/30/1994 09/30/2014 #21 CR 3285 Aztec NM 87410 San Juan Active 09/30/1994 09/30/2014 8116 Freedom El Paso TX 79925 El Paso Active 05/24/2012 12/31/2012 811 Kit Carson Rd. Taos NM 87571 Taos Active 07/31/1997 09/30/2013 P.O. Box 611 Prewitt NM 87045 McKinley Active 02/14/2005 09/30/2013 845 South Hill Rd. Suite B Bernalillo NM 87004 Sandoval Active 09/30/1994 09/30/2013 Page 307 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0130301 Kent A. Tompkins 0904 Clinical Mental Health Counselor (LPCC) Janet L. Toney 0093271 Clinical Mental Health Counselor (LPCC) Toni Drew 0138921 CEU Provider Certificate Barbara S. J. Tonn 0138931 Alcohol and Drug Counselor Barbara S. J. Tonn 0119901 Clinical Mental Health Counselor (LPCC) Marie N. Toral 0151541 Clinical Mental Health Counselor (LPCC) Tara Leigh Tormey 0152311 Licensed Mental Health Counselor Tara Leigh Tormey 005816 Temporary License Katia Olga Torrelli-Delgado 0125191 Marriage and Family Therapist Irma Y. Torres-Catanach 006288 Clinical Mental Health Counselor (LPCC) Celina J. Torres 0155721 Substance Abuse Associate Debra L. Torres 0149771 Licensed Mental Health Counselor Marsha A. Torres 0108361 Substance Abuse Associate Robert Gerard Torres 0119481 Licensed Mental Health Counselor Ronald Joseph Torres Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 11758 Road 27.1 Dolores CO 81323 Montezuma Active 03/08/2010 09/30/2013 9900 Datura Trail NE Albuquerque NM 87122 Bernalillo Active 07/31/1994 09/30/2014 1 Tano Escondido Santa Fe NM 87506 Santa Fe Active 06/07/2006 09/30/2013 P.O. Box 906 Westcliffe CO 81252 Custer Active 03/28/2011 09/30/2014 P.O. Box 906 Westcliffe CO 81252 Custer Active 03/28/2011 09/30/2014 6614 Old Providence Rd. Charlotte NC 28226 Mecklenburg Active 01/22/2009 09/30/2013 2604 Vista De Jemez Santa Fe NM 87505 Santa Fe Active 07/16/2012 09/30/2013 2604 Vista De Jemez Santa Fe NM 87505 Santa Fe Active 08/16/2012 03/31/2013 P.O. Box 1676 Ranchos de Taos NM 87557 Taos Active 06/30/2001 09/30/2014 4036 Los Milagros Santa Fe NM 87507 Santa Fe Active 08/12/2009 09/30/2013 2224 Paul Rd. SW Albuquerque NM 87105 Bernalillo Active 03/31/2002 09/30/2014 2936 Dakota NE Albuquerque NM 87110 Bernalillo Active 12/18/2012 09/30/2014 P.O. Box 1541 Ohkay Owingeh NM 87566 Rio Arriba Active 05/02/2012 09/30/2013 7528 Thornwood Dr. NW Albuquerque NM 87120 Bernalillo Active 10/18/2007 09/30/2013 6609 Natalie Ave. NE Albuquerque NM 87110 Bernalillo Active 01/15/2009 09/30/2013 Page 308 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0905 Sylvia Torres 0144731 Clinical Mental Health Counselor (LPCC) Jennifer L. Torrez 0119591 Clinical Mental Health Counselor (LPCC) Maria T. Torrez 0124541 Temporary License Maria T. Torrez 1265 Substance Abuse Associate Ron Torrez 0110881 Clinical Mental Health Counselor (LPCC) Christopher Alan Torwirt 0130461 Licensed Mental Health Counselor Christopher Alan Torwirt 2830 Clinical Mental Health Counselor (LPCC) Tova Fox, LPCC,LADAC-Agency :Engender, INC. CEU Provider Certificate Robert W. Townsend 0131391 Clinical Mental Health Counselor (LPCC) Tracy L. Townsend 0147791 Clinical Mental Health Counselor (LPCC) Alleyne N. Toya 005895 Temporary License Angelina Yuriko Toyota-Sharpe 0070691 Clinical Mental Health Counselor (LPCC) Alyce Traeger 0143751 Licensed Mental Health Counselor Don Patrick Trahan, Jr. 1182 Licensed Mental Health Counselor Jan L. Tras 0137071 Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2530 Deer Isle Cove Lawrenceville GA 30044 Gwinnett Retired 09/30/1994 09/30/2009 7737 Sandlewood Dr Albuquerque NM 87120 Bernalillo Active 11/07/2011 09/30/2013 PO Box 2936 Roswell NM 88202 Chaves Active 01/20/2009 07/31/2009 PO Box 2936 Roswell NM 88202 Chaves Active 07/20/2009 09/30/2013 5108 Mirada Drive NW Albuquerque NM 87120 Bernalillo Active 06/30/1994 09/30/2013 1003-A Central Avenue Tularosa NM 88352 Otero Expired 01/30/2008 09/30/2009 1003-A Central Avenue Tularosa NM 88352 Otero Active 03/17/2010 09/30/2013 2632 Pennsylvania Street NE, Suite E Albuquerque NM 87110 Bernalillo Active 12/30/2010 09/30/2013 1225 Landman Dr NE Albuquerque NM 87112 Bernalillo Active 06/30/1995 09/30/2014 P.O. Box 10182 Santa Fe NM 87504 Santa Fe Active 04/14/2010 09/30/2013 P.O. Box 1676 Corrales NM 87048 Sandoval Active 03/09/2012 03/31/2013 805 W. 6th Street Silver City NM 88061 Grant Active 09/30/2001 09/30/2013 P.O. Box 50084 Albuquerque NM 87181 Bernalillo Expired 02/29/2004 09/30/2009 10348 Dayflower Dr. NW Albuquerque NM 87114 Bernalillo Active 10/03/2011 09/30/2014 5716 Madeira Pl. NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2014 Page 309 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 1385 Pat L. Trembly 0087251 Registered Independent Counselor John Robert Tresner 0093401 Alcohol and Drug Counselor John Robert Tresner 0116921 Professional Mental Health Counselor Amy Lyn Trevino 0087641 Clinical Mental Health Counselor (LPCC) Hedy M. Trevino 0093131 Alcohol and Drug Counselor Tri-County Community Services, Inc. 3237 CEU Provider Certificate Teresa A. Trigiani 0136551 Clinical Mental Health Counselor (LPCC) Robin N. Troncoso 0119961 Licensed Mental Health Counselor Sharilene B Troost 1320 Temporary License Cathrine Troy 1321 Art Therapist Cathrine Troy 0071701 Clinical Mental Health Counselor (LPCC) Elba V. True 0069442 Clinical Mental Health Counselor (LPCC) Elba V. True 0284 Alcohol and Drug Counselor Pearl A. Trujillo-MacDonald 0097621 Clinical Mental Health Counselor (LPCC) Andy L. Trujillo Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 283 Capitan NM 88316 Lincoln Active 08/30/1994 09/30/2013 6 Santa Ana Loop Placitas NM 87043 Sandoval Active 10/14/2005 09/30/2014 6 Santa Ana Loop Placitas NM 87043 Sandoval Active 06/14/2006 09/30/2013 5065 Comanche Trl. Las Cruces NM 88012 Dona Ana Active 09/19/2008 09/30/2014 PO Box 61 Ocate NM 87734 Mora Active 10/31/2005 09/30/2014 413 Sipapu Street Box 6952 Taos NM 87571 208 Paseo del Pueblo Sur #301 Taos NM 87571 1229 Espejo NE Albuquerque NM 87112 Taos Active 05/30/2006 09/30/2013 Taos Retired 04/30/1997 09/30/2012 Bernalillo Active 11/29/2010 09/30/2014 2614 Stuart Hwy 47 East Burns TN 37029 Dickson Active 01/27/2009 02/28/2010 12113 Apache Ave NE Albuquerque NM 87112 Bernalillo Active 07/31/1994 09/30/2014 12113 Apache Ave NE Albuquerque NM 87112 Bernalillo Active 09/30/1994 09/30/2013 401 9th St. NE Rio Rancho NM 87124 Sandoval Active 03/31/2004 09/30/2013 401 9th St. NE Rio Rancho NM 87124 Sandoval Active 12/31/2003 09/30/2013 100 W Griggs Las Cruces NM 88001 Dona Ana Active 06/30/1994 09/30/2014 1729 Montana Las Cruces NM 88001 Dona Ana Active 10/24/2006 09/30/2013 Page 310 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4370 Carl R. Trujillo 0075251 Licensed Mental Health Counselor Carl R. Trujillo 0120491 Alcohol and Drug Counselor Christa Faith Trujillo 0142891 Substance Abuse Associate Elisharose J. Trujillo 2339 Licensed Mental Health Counselor Fred A. Trujillo 3832 Professional Mental Health Counselor Fred A. Trujillo 0113711 Alcohol and Drug Counselor Helen C. Trujillo 2340 Licensed Mental Health Counselor Joseph A. Trujillo 0152001 Professional Mental Health Counselor Karen B. Trujillo 1183 Temporary License Margie Trujillo 3728 Clinical Mental Health Counselor (LPCC) Ramon S. Trujillo 0105611 Alcohol and Drug Counselor Harold K. Tso 3657 Clinical Mental Health Counselor (LPCC) Harold M. Tso 0080121 Alcohol and Drug Counselor Evangeline R. Tsosie 0132221 Professional Mental Health Counselor Marie M. Tsosie Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 13999 Las Cruces NM 88013 Dona Ana Active 12/31/1997 09/30/2014 P.O. Box 13999 Las Cruces NM 88013 Dona Ana Active 08/23/2004 09/30/2013 P.O. Box 698 Chimayo NM 87522 Rio Arriba Active 02/12/2009 09/30/2013 1220 Girard Blvd. NE Albuquerque NM 87106 Bernalillo Active 09/01/2011 09/30/2014 P.O. Box 141 Springer NM 87747 Colfax Active 08/30/1994 09/30/2013 P.O. Box 141 Springer NM 87747 Colfax Retired 04/30/1997 09/30/2012 1301 Stoneway Drive NW Albuquerque NM 87120 Bernalillo Active 05/19/2008 03/31/2014 P.O. Box 2968 Roswell NM 88202-5693 Chaves Active 09/30/1994 09/30/2014 9127 Santa Catalina Ave. NW Albuquerque NM 87121 Bernalillo Active 08/13/2012 03/31/2013 1208 E. 36th St. Farmington NM 87401 San Juan Active 06/30/1994 09/30/2013 P.O. Box 731 Sapello NM 87745 San Miguel Active 03/31/1997 09/30/2014 4404 N. Dustin Ave. Farmington NM 87401 San Juan Active 07/17/2007 09/30/2014 P.O. Box 803 Laguna NM 87026 Cibola Active 06/30/1997 09/30/2013 46 County Road 3785 Farmington NM 87401 San Juan Active 03/10/2005 09/30/2014 PO Box 123 Shiprock NM 87420 San Juan Active 05/20/2010 09/30/2013 Page 311 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 4416 Paul N. Tucker 0131841 Alcohol and Drug Counselor Sandra H. Tucker 0155671 Clinical Mental Health Counselor (LPCC) Sheri R. Tullis 2922 Temporary License Kristina D. Tune 0133731 Clinical Mental Health Counselor (LPCC) Tamara Renee Turcotte 0114461 Clinical Mental Health Counselor (LPCC) Sharon L. Turnbough 0155741 Clinical Mental Health Counselor (LPCC) Felise Ward Turri 0092771 Clinical Mental Health Counselor (LPCC) C. Janie Turrieta 0069042 Clinical Mental Health Counselor (LPCC) Imani Turtle-Song 3997 Clinical Mental Health Counselor (LPCC) Jay F. Tveito 0148391 Alcohol and Drug Counselor Kehala Two Bulls 0135511 Licensed Mental Health Counselor Lauren K. Tyler 0150981 Licensed Mental Health Counselor Lauren K. Tyler 0105891 Temporary License Eddeana L. Ueland 0143101 Alcohol and Drug Counselor Tera N. Uhl Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1847 Tramway Terrace Loop NE Albuquerque NM 87122 Bernalillo Active 01/31/1999 09/30/2013 P.O. Box 203 Fancy Gap VA 24328 Carroll Active 05/05/2010 09/30/2013 3203 Sunset Ave. Farmington NM 87401 San Juan Active 12/14/2012 10/31/2013 2978 Plaza Blanca Santa Fe NM 87507-5340 Santa Fe Active 06/30/1999 09/30/2014 38 Phillips Road Moriarty NM 87035 Torrance Active 07/23/2010 09/30/2013 2112 E 2nd Street Portales NM 88130 Roosevelt Active 06/12/2008 09/30/2014 12 La Mesa Alamogordo NM 88310 Otero Active 12/19/2012 09/30/2014 2020 N. Main St Silver City NM 88061 Grant Active 05/16/2006 09/30/2013 9715 Arvilla Ave. NE Albuquerque NM 87111 Bernalillo Active 12/31/2003 09/30/2014 1018 Miss Bev El Paso TX 79932 El Paso Active 04/30/1996 09/30/2013 5 Bisbee Ct. 109 #11 Santa Fe NM 87508 Santa Fe Active 03/26/2012 09/30/2013 1202 N. Orchard St. Farmington NM 87401 San Juan Active 10/14/2010 09/30/2014 1202 N. Orchard St. Farmington NM 87401 San Juan Active 06/21/2012 01/31/2013 P.O. Box 362 Santa Clara NM 88026 Grant Active 07/23/2007 09/30/2014 1751 W. Hadley Sp. 130 Las Cruces NM 88005 Dona Ana Active 09/12/2011 09/30/2014 Page 312 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0146111 Tera N. Uhl 0143181 Substance Abuse Associate Marianne Uhlemann 0090011 Clinical Mental Health Counselor (LPCC) Ferman L. Ulibarri 0105711 Substance Abuse Associate Leslie Ann Ulibarri 0073121 Professional Mental Health Counselor Marizabel Ulibarri 0149811 Alcohol and Drug Counselor Michelle A. Ulibarri 4272 Licensed Mental Health Counselor Roberta Y. Ulibarri 0100851 Alcohol and Drug Counselor Joni V. Ullery 0155581 Professional Mental Health Counselor Cynthia A. Unger 0153861 Licensed Mental Health Counselor Stephanie R. Unger 0070551 Licensed Mental Health Counselor Rebecca E. Unione 0086741 Substance Abuse Associate UNM Center for Development and Disability 0103791 0091721 0088491 Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1751 W. Hadley Sp. 130 Las Cruces NM 88005 Dona Ana Active 01/10/2012 09/30/2013 6700 E. Thomas Rd. #26 Scottsdale AZ 85251 Maricopa Active 09/14/2011 09/30/2013 1372 Vista Place Raton NM 87740 Colfax Active 02/10/2006 09/30/2013 713 Stagecoach Rd. SE Albuquerque NM 87123 Bernalillo Active 07/18/2007 09/30/2014 #10 Calle Lisa Santa Fe NM 87507 Santa Fe Active 05/04/2004 09/30/2013 2310 Hot Springs Blvd Las Vegas NM 87701 San Miguel Active 05/04/2012 09/30/2013 500 Douglas Ave Apt 303 Las Vegas NM 87701 7400 Praire Rd. NE Albuquerque NM 87109 San Miguel Active 01/31/1999 09/30/2014 Bernalillo Active 02/12/2007 09/30/2014 301 N. Roadrunner Pkwy. Apt. 209 Las Cruces NM 88011 Dona Ana Active 12/12/2012 09/30/2014 19 Fawn Ct. Silver City NM 88061 Grant Active 10/02/2012 09/30/2014 13 Bajada Place Santa Fe NM 87508 Santa Fe Expired 02/29/2004 09/30/2009 2300 Menaul Blvd. NE Albuquerque NM 87107 Bernalillo Active 09/27/2005 09/30/2013 Bernalillo Active 05/21/2007 09/30/2013 Bernalillo Active 03/30/2006 09/30/2013 Santa Fe Active 12/14/2005 09/30/2014 CEU Provider Certificate UNM Hospitals Addiction & Substance Abuse 2450 Alamo SE Programs Albuquerque NM 87106 CEU Provider Certificate UNM/CDD/Early Childhood Network Program 2300 Menal NE Albuquerque NM 87107 CEU Provider Certificate Jan E. Unna 1719 Callejon Cordelia Santa Fe NM 87501 Clinical Mental Health Counselor (LPCC) Page 313 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0100711 Jan E. Unna 0137601 Alcohol and Drug Counselor Jan E. Unna 0096681 Alcohol and Drug Counselor Ann Marie Unrast 0154851 Clinical Mental Health Counselor (LPCC) Tobias J. Unterfranz 0121031 Licensed Mental Health Counselor Upaya Zen Center 3525 CEU Provider Certificate Alvera R. Upshaw 1005 Alcohol and Drug Counselor Gloria D. Urban-Hutchens 0102221 Clinical Mental Health Counselor (LPCC) Kourtney T. Vaillancourt 0109031 Professional Mental Health Counselor Kourtney T. Vaillancourt 0109041 Alcohol and Drug Counselor Kourtney T. Vaillancourt 0794 Marriage and Family Therapist Boris A. Valdevit 0110231 Clinical Mental Health Counselor (LPCC) Deanna Natasha Valdez 0151951 Licensed Mental Health Counselor Gilbert Valdez 0088761 Licensed Mental Health Counselor Jose Albert Valdez 006279 Substance Abuse Associate Peter A. Valencia Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1719 Callejon Cordelia Santa Fe NM 87501 Santa Fe Expired 02/07/2007 09/30/2009 1719 Callejon Cordelia Santa Fe NM 87501 Santa Fe Active 01/27/2011 09/30/2014 2925 N Mann Dr. Silver City NM 88061 Grant Active 09/20/2006 09/30/2013 5400 Montgomery Blvd. NE #408B Albuquerque NM 87109 Bernalillo Active 11/16/2012 09/30/2014 1404 Cerro Gordo Road Santa Fe NM 87501 Santa Fe Active 03/03/2009 09/30/2013 725 Rim Rock Drive Gallup NM 87301 McKinley Active 01/31/1997 09/30/2013 2807 Riverside Drive Roswell NM 88201 Chaves Active 07/31/1994 09/30/2013 146 Key Deer Court Las Cruces NM 88007 Dona Ana Expired 03/26/2007 09/30/2009 146 Key Deer Court Las Cruces NM 88007 Dona Ana Active 11/14/2007 09/30/2013 146 Key Deer Court Las Cruces NM 88007 Dona Ana Active 11/14/2007 09/30/2013 959 Lujan HIll Road Las Cruces NM 88007 Dona Ana Active 07/31/1994 09/30/2013 8315 Mesa Top Road NW Albuquerque NM 87120 Bernalillo Active 12/28/2007 09/30/2013 915 Gusdorf Apt 1 Taos NM 87571 Taos Active 08/09/2012 09/30/2013 PO Box 113 Vadito NM 87579 Taos Active 12/27/2005 09/30/2013 1408 Van Cleave NW Albuquerque NM 87107 Bernalillo Active 08/31/2002 09/30/2013 Page 314 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0154271 Teresa J. Valencia 0859 Licensed Mental Health Counselor Kathleen A. Valent 0117451 Professional Mental Health Counselor Valerie Ann Valentine 0151251 Art Therapist Valerie Ann Valentine 4338 Temporary License Irma Elizabeth Vallender 973 Licensed Mental Health Counselor Victoria L. Valles-Mora 1057 Clinical Mental Health Counselor (LPCC) Ena M. Valletti 0975 Registered Independent Counselor Demetra Vallianos-Childress 0091701 Clinical Mental Health Counselor (LPCC) Value Options New Mexico 0128861 CEU Provider Certificate Dina M. Van Dyke 0069701 Licensed Mental Health Counselor Madelaine E. Van Epp 0137841 Marriage and Family Therapist Cheryl L. Van Gilst 0093041 Clinical Mental Health Counselor (LPCC) Carolyn S. Van Housen 2755 Marriage and Family Therapist Eleanor Van Inwegen 005809 Clinical Mental Health Counselor (LPCC) Richard A. Van Scoyk Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 22 B Louis Rd. Santa Fe NM 87508 Santa Fe Active 10/18/2012 09/30/2014 1917 N. Greenwood St. Pueblo CO 81003 Pueblo Expired 05/31/1998 09/30/2003 304 Villeros Street Santa Fe NM 87501 Santa Fe Active 10/15/2008 09/30/2014 304 Villeros Street Santa Fe NM 87501 Santa Fe Active 07/03/2012 02/28/2013 3512 Lincoln Avenue El Paso TX 79930 El Paso Active 12/31/1997 09/30/2014 6305 Little Joe Place NW Albuquerque NM 87120 Bernalillo Active 01/31/1997 09/30/2013 15375 N Largo del Oro Parkway Tucson AZ 85739 Pima Active 08/30/1994 09/30/2013 5708 Peppertree NE Albuquerque NM 87111 Bernalillo Active 06/30/1994 09/30/2013 2400 Louisana Blvd. NE Bldg 5 Albuquerque NM 87110 Bernalillo Expired 03/30/2006 09/30/2009 9250 Eagle Ranch Rd. NW 615 Albuquerque NM 87114 Bernalillo Active 01/20/2010 09/30/2013 13119 Terragon NE Albuquerque NM 87112 Bernalillo Active 01/31/2004 09/30/2013 21 Blackberry Lane Los Lunas NM 87031 Valencia Active 02/09/2011 09/30/2014 25 Vista De Oro Placitas NM 87043 Sandoval Active 05/26/2006 09/30/2013 28 Cielo Vista Belen NM 87002 Valencia Active 02/28/1995 09/30/2013 911 6th St. Las Vegas NM 87701 San Miguel Active 09/30/2001 09/30/2013 Page 315 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type General Address County License Status Issue Date Expiration Date 0183 Donald M. Van Sickle San Juan Active 06/30/1994 09/30/2013 0066102 Clinical Mental Health Counselor (LPCC) Elizabeth A. Van Soelen 4751 Sundance Rd. Farmington NM 87401 Dona Ana Active 03/31/2003 09/30/2014 0099521 Substance Abuse Associate Elizabeth A. Van Soelen 4166 Compana Ct. Las Cruces NM 88011 Dona Ana Active 12/28/2006 09/30/2013 0337 Licensed Mental Health Counselor Harriet Queta Van Wyngarden 4166 Compana Ct. Las Cruces NM 88011 Dona Ana Active Clinical Mental Health Counselor (LPCC) Peter A. Vance 06/30/1994 09/30/2013 0071451 Santa Fe Active 02/29/2004 09/30/2013 0118501 Clinical Mental Health Counselor (LPCC) Roger (Sean) P. Vanderbilt-Reynolds La Casa Inc. P.O. Box 2463 Las Cruces NM 88004 P.O. Box 31891 Santa Fe NM 87594 Santa Fe Active 11/20/2008 09/30/2014 0091391 Substance Abuse Associate Eric N. VanHartesveldt 223 N Guadalupe Street, #236 Santa Fe NM 87501 McKinley Active 03/20/2006 09/30/2013 2753 Licensed Mental Health Counselor Terry Vann 403 Valentina Dr. Gallup NM 87301 McKinley Retired 10/31/1994 09/30/2009 0115791 Clinical Mental Health Counselor (LPCC) Hope D. Varela 3313 Churchrock Street Gallup NM 87301 Rio Arriba Expired 07/30/2008 02/28/2009 0131 Temporary License Rikko Varjan PO Box 1920 Espanola NM 87532 Hawaii Expired 04/30/1994 09/30/2001 0132 Clinical Mental Health Counselor (LPCC) Rikko Varjan P.O. Box 817 Kapaau HI 96755 Hawaii Active 04/30/1994 09/30/2014 0077171 Marriage and Family Therapist Denette T. Varley P.O. Box 817 Kapaau HI 96755 Bernalillo Active 11/05/2004 09/30/2013 0114351 Substance Abuse Associate Denette T. Varley 9901 Coda Pl., NE Albuquerque NM 87111 Bernalillo Active 06/06/2008 09/30/2014 3793 Marriage and Family Therapist Patricia A. Vaughn 9901 Coda Pl., NE Albuquerque NM 87111 San Juan Active 04/30/1997 09/30/2013 0140191 Alcohol and Drug Counselor Mary J. Vaux P.O. Box 2444 Bloomfield NM 87413 P.O. Box 847 Rociada NM 87742 Mora Active 05/20/2011 09/30/2014 Licensed Mental Health Counselor Printed: 01/15/2013 Page 316 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 006058 Lynn M. Veach 0099881 Alcohol and Drug Counselor Lynn M. Veach 0671 Clinical Mental Health Counselor (LPCC) Kathleen A. Veenstra 0115591 Clinical Mental Health Counselor (LPCC) Debra Lynn Vega-Cowen 0085021 Clinical Mental Health Counselor (LPCC) Lucille Vega-Tarr 0090451 Professional Mental Health Counselor Omar A. Vega 0123991 Substance Abuse Associate Omar A. Vega 2169 Clinical Mental Health Counselor (LPCC) Kathleen A. Veit 4308 Clinical Mental Health Counselor (LPCC) Anastacio Patricio Velarde 0154141 Alcohol and Drug Counselor Patricia Alejandra Velazquez 0126331 Clinical Mental Health Counselor (LPCC) Rosario Velazquez 0136761 Licensed Mental Health Counselor Rosario Velazquez 0155371 Temporary License Rosario Velazquez 0127521 Temporary License Laura A. Velez 2947 Alcohol and Drug Counselor Valerie Z. Velhagen Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1010 N. Virginia Ave Roswell NM 88201 Chaves Retired 01/22/2002 09/30/2008 1010 N. Virginia Ave Roswell NM 88201 Chaves Active 01/11/2007 09/30/2013 1515 Yuma Los Alamos NM 87544 Los Alamos Active 06/30/1994 09/30/2013 2301 Raton Hwy Grenville NM 88424 Union Active 07/29/2008 09/30/2014 1608 Blackhawk River Rio Rancho NM 87144 Sandoval Active 08/19/2005 09/30/2014 29 Rito Guicu Santa Fe NM 87507 Santa Fe Expired 02/27/2006 09/30/2009 29 Rito Guicu Santa Fe NM 87507 Santa Fe Active 06/25/2009 09/30/2013 PO Box 428 Mableton GA 30126 Cobb Active 08/30/1994 09/30/2013 409 San Medina Farmington NM 87401 San Juan Active 12/31/1999 09/30/2014 560 East Coronado Rd Santa Fe NM 87505 Santa Fe Active 10/15/2012 09/30/2014 1129 Sun Shadow El Paso TX 79912 El Paso Active 09/25/2009 09/30/2013 1129 Sun Shadow El Paso TX 79912 El Paso Null and Void 12/08/2010 07/30/2011 1129 Sun Shadow El Paso TX 79912 El Paso Active 12/06/2012 07/31/2013 P.O. Box 1039 Cedar Crest NM 87008 Bernalillo Active 11/16/2009 09/30/2013 1708 Ridgecrest Drive SE Albuquerque NM 87108 Bernalillo Active 01/31/1995 09/30/2013 Page 317 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0540 Cynthia C. Veliquette 1184 Clinical Mental Health Counselor (LPCC) Judy C. Venczel 0134081 Clinical Mental Health Counselor (LPCC) Velma Venegas 0155611 Alcohol and Drug Counselor Jessica S. Ventura-Ewing 0155591 Licensed Mental Health Counselor Carmela C. Ventura 0067442 Licensed Mental Health Counselor Marilyn N. Verney 0127461 Alcohol and Drug Counselor Michael Louis Verrilli 0127471 Licensed Mental Health Counselor Michael Louis Verrilli 0101981 Alcohol and Drug Counselor Anna Maria De Spirito Vestal 1386 Clinical Mental Health Counselor (LPCC) Debra J. Vetterman 1753 Art Therapist Debra J. Vetterman 0154491 Clinical Mental Health Counselor (LPCC) Via Positive, LLC 0100231 CEU Provider Certificate Joyce J. Viarrial 0070481 Licensed Mental Health Counselor Jeanette Vice 3290 Substance Abuse Associate Ingeborg J. Vicenti Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 249 South Highway 101, Ste. 275 Solana Beach CA 92075 San Diego Active 07/31/1994 09/30/2014 12005 San Victorio Avenue NE Albuquerque NM 87111 Bernalillo Active 06/30/1994 09/30/2014 3500 Tulane Dr. NE, Apt. B Albuquerque NM 87107 Bernalillo Active 08/05/2010 09/30/2013 4129 S. Meadows Rd. Apt.413 Santa Fe NM 87507 Santa Fe Active 12/13/2012 09/30/2014 231 #1 Closson St. Santa Fe NM 87501 Santa Fe Active 12/13/2012 09/30/2014 PO Box 5054 Gallup NM 87305 McKinley Active 07/31/2003 09/30/2013 6004 Tierra St. NE Apartment A Albuquerque NM 87111 6004 Tierra St. NE Apartment A Albuquerque NM 87111 425 Thor St. White Sands Missile Range NM 88002 Bernalillo Active 11/09/2009 09/30/2013 Bernalillo Active 11/09/2009 09/30/2013 Dona Ana Active 03/19/2007 09/30/2014 P.O. Box 622 Mountainair NM 87036 Torrance Retired 07/31/1994 09/30/2012 P.O. Box 622 Mountainair NM 87036 Torrance Active 08/30/1994 09/30/2013 601 Menaul Blvd. NE #3703 Albuquerque NM 87107 Bernalillo Active 10/29/2012 09/30/2013 55 Camino del Rincon Santa Fe NM 87506 Santa Fe Active 01/23/2007 09/30/2014 HCR 79, Box 1508 Cuba NM 87013 Sandoval Active 12/31/2003 09/30/2013 P.O. Box 360 Dulce NM 87528 Rio Arriba Active 08/31/1996 09/30/2014 Page 318 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0116451 Victor M. Arrey 0145131 CEU Provider Certificate Victoria Tewa 0141951 CEU Provider Certificate Maria Jennifer Vicuna Nagorski 0092161 Licensed Mental Health Counselor Amy Marie Vidra 0099801 Art Therapist Amy Marie Vidra 0708 Clinical Mental Health Counselor (LPCC) Gabrielle M. Viethen 0111781 Marriage and Family Therapist Carol Ann Vigil 4624 Licensed Mental Health Counselor Carol Yolanda Vigil 3503 Alcohol and Drug Counselor Jennifer P. Vigil 2168 Alcohol and Drug Counselor Lloyd D. Vigil 1754 Clinical Mental Health Counselor (LPCC) Maria L. Vigil 0152461 Clinical Mental Health Counselor (LPCC) Maryah J. Vigil 0122611 Temporary License Stacy J. Vigil 3936 Clinical Mental Health Counselor (LPCC) Susan E. Vigil 0108791 Alcohol and Drug Counselor Victoria Vigil Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 380 Dolores NW Albuquerque NM 87105 Bernalillo Expired 09/02/2008 09/30/2009 10500 Redbud St. NW Albuquerque NM 87114 Bernalillo Active 11/30/2011 09/30/2013 123 Vermont NE Albuquerque NM 87108 Bernalillo Active 07/27/2011 09/30/2014 39 Juniper Drive Sandia Park NM 87047 Bernalillo Active 04/18/2006 09/30/2013 39 Juniper Drive Sandia Park NM 87047 Bernalillo Active 01/09/2007 09/30/2014 551 W. Cordova Rd. #156 Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2014 2312 Monterrey Road NE Rio Rancho NM 87144 Sandoval Active 03/03/2008 09/30/2014 5109 Haines NE Albuquerque NM 87110 Bernalillo Active 01/31/1999 09/30/2014 P.O. Box 3161 Fairview NM 87533 Rio Arriba Active 01/31/1997 09/30/2013 P.O. Box 103 Chimayo NM 87522 Rio Arriba Active 12/31/1998 09/30/2014 P.O. Box 693 Las Vegas NM 87701 San Miguel Active 09/30/1994 09/30/2014 2819 Solano Del Sol Dr. NE Rio Rancho NM 87144 Sandoval Active 08/21/2012 03/31/2013 HCR 64, Box 78 Guadalupita NM 87722 Mora Active 04/28/2009 09/30/2013 588 Ojitos Frios Rd Las Vegas NM 87701 San Miguel Active 06/30/1997 09/30/2014 8921 Armistice Rd NE Albuquerque NM 87109 Bernalillo Active 11/01/2007 09/30/2013 Page 319 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0092101 Francisco J. Villa-Rivera 0065202 Alcohol and Drug Counselor Annie C. Villanueva 0134001 Substance Abuse Associate Isabel Villanueva 0122481 Substance Abuse Associate Juliann R. Villanueva 0126491 Marriage and Family Therapist Jana M. Villegas 0152641 Licensed Mental Health Counselor Joseph L. Villegas, Sr. 0129931 Temporary License Michael L. Villines 0084161 Substance Abuse Associate James Robert Vincent 0070301 Clinical Mental Health Counselor (LPCC) Virginia Mongiello 0110221 CEU Provider Certificate Leia Marie Viscarra 0088591 Licensed Mental Health Counselor Jenna Viscaya 0127381 Licensed Mental Health Counselor Eva E. Vital 2756 Licensed Mental Health Counselor Susan Voigt 0085801 Art Therapist Susan Voigt 1058 Clinical Mental Health Counselor (LPCC) Cynthia M. Vollmer Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4509 Bay Willow Way El Paso TX 79922 El Paso Active 04/18/2006 09/30/2013 1100 Alvarado SE 210 Albuquerque NM 87108 Bernalillo Active 12/31/2002 09/30/2014 1327 San Andres Hobbs NM 88240 Lea Active 07/30/2010 09/30/2013 1212 W Kaywood Portales NM 88130 Roosevelt Active 04/17/2009 09/30/2013 1728 Martha St. NE Albuquerque NM 87112 Bernalillo Active 10/05/2009 09/30/2013 10 Camino Torcido Loop Santa Fe NM 87505 Santa Fe Active 08/23/2012 03/31/2013 P.O. Box 566 Santa Clara NM 88026 Grant Active 02/22/2010 09/30/2013 14-A Sarma Lane Santa Fe NM 87506 Santa Fe Active 07/18/2005 09/30/2014 P.O. Box 1096 El Prado NM 87529 Taos Active 01/31/2004 09/30/2013 6509 Avenida Madrid NW Albuquerque NM 87114 Bernalillo Active 12/28/2007 09/30/2013 2724 Virginia St NE Albuquerque NM 87110 Bernalillo Active 12/20/2005 09/30/2014 424 Walnut St. Clayton NM 88415 Union Active 11/05/2009 09/30/2013 104 South Pennsylvania Roswell NM 88203 Chaves Active 01/31/1995 09/30/2014 104 South Pennsylvania Roswell NM 88203 Chaves Active 09/06/2005 09/30/2014 P.O. Box 8519 Santa Fe NM 87504 Santa Fe Retired 06/30/1994 09/30/2009 Page 320 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0151811 Kyle A. Von Holtum 0145651 Licensed Mental Health Counselor Sarah J. Vondle 1317 Licensed Mental Health Counselor Susan H. Voorhees 0144601 Professional Mental Health Counselor Charles L. Vopalka, Jr. 0138331 Temporary License Jan M. Voshart 0153111 Clinical Mental Health Counselor (LPCC) Mark R. Voss 0144331 Temporary License Jessica A. Vreeland 0145891 Licensed Mental Health Counselor Robert K. Waatsa 0156201 Substance Abuse Associate Robert K. Waatsa 0131621 Licensed Mental Health Counselor Gretchen Wachs 0072031 Licensed Mental Health Counselor George S. Waddell 3186 Clinical Mental Health Counselor (LPCC) Mindy Waechter 1652 Clinical Mental Health Counselor (LPCC) R. J. Waggoner 0080101 Professional Mental Health Counselor Elizabeth A. Wagner 2049 Clinical Mental Health Counselor (LPCC) Jo Anne T. Wagner Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 815 N. B Street Silver City NM 88061 Grant Active 07/30/2012 09/30/2013 4926 Calle de Tierra Albuquerque NM 87111 Bernalillo Active 12/21/2011 09/30/2013 83 Placita De Oro, #1 Santa Fe NM 87501 Santa Fe Active 08/30/1994 09/30/2013 2900 Montclaire Dr. NE Albuquerque NM 87110 Bernalillo Active 11/01/2011 06/30/2012 7708 RANCHWOOD DR NW ALBUQUERQUE NM 87120 Bernalillo Active 02/28/2011 09/30/2014 218 Gonzales Road Santa Fe NM 87501 Santa Fe Active 09/06/2012 04/30/2013 117 Derramadera Ave. Albuquerque NM 87113 Bernalillo Active 10/19/2011 09/30/2013 PO Box 724 Zuni NM 87327 McKinley Active 12/29/2011 09/30/2013 PO Box 724 Zuni NM 87327 McKinley Active 01/14/2013 09/30/2014 P.O. Box 611 Tesuque NM 87574 Santa Fe Active 04/28/2010 09/30/2013 3019 Futura Roswell NM 88201 Chaves Expired 02/29/2004 09/30/2009 1014 Clearmount SE North Canton OH 44720 Stark Active 12/31/1996 09/30/2014 3000 E. Mescalero Roswell NM 88201 Chaves Active 10/31/1994 09/30/2013 782 C Tramway Place NE Albuquerque NM 87122 Bernalillo Active 03/10/2005 09/30/2014 7709 Roberts NE Albuquerque NM 87109 Bernalillo Active 07/31/1994 09/30/2013 Page 321 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0376 Mark D. Walch 0132491 Clinical Mental Health Counselor (LPCC) Ronny Alan Walden 0063201 Clinical Mental Health Counselor (LPCC) Ginger Walker-Gallegos 0066552 Professional Mental Health Counselor Linda J. Walker 0105401 Clinical Mental Health Counselor (LPCC) Melinda Walker 0155151 Clinical Mental Health Counselor (LPCC) Shannon B. Walker 0132881 Licensed Mental Health Counselor Steven V Walker, LPCC 3576 Clinical Mental Health Counselor (LPCC) Susan A. Walker 0672 Alcohol and Drug Counselor William T. Walker 3628 Clinical Mental Health Counselor (LPCC) Charles L. Wallace 0158 Alcohol and Drug Counselor Jessica E. Wallace 005817 Clinical Mental Health Counselor (LPCC) Kristin R. Wallin 2331 Marriage and Family Therapist Michael W. Wallington 2055 Clinical Mental Health Counselor (LPCC) Nurit Walsky 0075 Professional Mental Health Counselor Sydney S. Walter Marriage and Family Therapist Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 21758 Albuquerque NM 87154 Bernalillo Active 06/30/1994 09/30/2014 314 B Hillcrest Drive Durango CO 81301 La Plata Active 06/01/2010 09/30/2013 P.O. Box 700 Arroyo Seco NM 87514 Taos Retired 04/30/2002 09/30/2009 436 Live Oak Loop NE Albuquerque NM 87122 Bernalillo Active 05/31/2003 09/30/2014 1807 Second Street, Suite #25 Santa Fe NM 87505 Santa Fe Active 07/13/2007 09/30/2014 5020 Pershing Ave. SE Albuquerque NM 87108 Bernalillo Active 11/28/2012 09/30/2014 12 Elaine Drive Los Lunas NM 87031-1852 Valencia Active 06/14/2010 09/30/2013 9520 Adonai Road NW Albuquerque NM 87121 Bernalillo Active 02/28/1997 09/30/2014 1512 W. 1st Roswell NM 88203 Chaves Active 09/30/1994 09/30/2014 1006 North Lincoln Avenue Farmington NM 87401 San Juan Active 01/31/1997 09/30/2014 416 Camino del Bosque NW Albuquerque NM 87114 Bernalillo Expired 07/31/1994 09/30/2008 5915 Los Ritos Ct. NW Albuquerque NM 87120 Bernalillo Active 11/30/2001 09/30/2013 11 W Gutierrez #3800 Santa Fe NM 87506 Santa Fe Active 01/31/1995 09/30/2013 208 Gonzales Santa Fe NM 87501 Santa Fe Active 11/30/1994 09/30/2013 546 Harkle Road, Suite C Santa Fe NM 87505 Santa Fe Active 06/30/1994 09/30/2013 Page 322 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0094171 Sunday S. Walters 0093441 Clinical Mental Health Counselor (LPCC) Susan Walters 0139701 Clinical Mental Health Counselor (LPCC) Josie M. Walton 0082931 Licensed Mental Health Counselor Kenneth M. Wanya 0112891 Substance Abuse Associate William J. Waquie 0154751 Alcohol and Drug Counselor Derek Asa Ward 0147031 Clinical Mental Health Counselor (LPCC) James A. Ward 0156171 Clinical Mental Health Counselor (LPCC) Robert M. Ward 3744 Temporary License Verne S. Wardlow 0092051 Alcohol and Drug Counselor Joanna Lynn Warner 0128121 Clinical Mental Health Counselor (LPCC) Jo'l Warren-Moore 1059 Clinical Mental Health Counselor (LPCC) Terry W. Washam 0744 Clinical Mental Health Counselor (LPCC) Shirley J. Washburn 0404 Clinical Mental Health Counselor (LPCC) Steven A. Washburn 0127421 Clinical Mental Health Counselor (LPCC) Carilene H. Washburne-Chavez Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1649 25th Avenue NE Issaquah WA 98029 King Active 07/05/2006 09/30/2013 601 W. San Mateo, Unit 195 Santa Fe NM 87505 Santa Fe Active 06/14/2006 09/30/2013 7728 Javelina Rd. SW Albuquerque NM 87121 Bernalillo Active 05/03/2011 09/30/2015 6508 Pasilla Rd. Rio Rancho NM 87144 Sandoval Active 06/21/2005 09/30/2014 P.O. Box 595 Jemez Pueblo NM 87024 Sandoval Active 04/14/2008 09/30/2014 4437 Snow Heights Circle SE Rio Rancho NM 87124 Sandoval Active 11/13/2012 09/30/2014 5901 Meadowglen Dr. Argyle TX 76226 Denton Active 02/07/2012 09/30/2013 2940 Plaza Ave. Santa Fe NM 87507 Santa Fe Active 01/11/2013 08/31/2013 2632 Ghost Ranch St SW Albuquerque NM 87121 Bernalillo Active 01/31/1997 09/30/2014 8172 Ventana Azul NW Albuquerque NM 87114 Bernalillo Active 04/14/2006 09/30/2013 P.O. Box 928 Belen NM 87002 Valencia Active 12/16/2009 09/30/2013 308 Granite Drive Ruidoso NM 88345 Lincoln Active 07/31/1994 09/30/2013 705 Jewel Pl. NE Albuquerque NM 87123 Bernalillo Active 06/30/1994 09/30/2014 3808 Andrew Dr. NE Albuquerque NM 87110-1329 Bernalillo Active 05/31/1994 09/30/2014 P.O. Box 339 Santo Domingo Pueblo NM 87052 Sandoval Active 11/06/2009 09/30/2013 Page 323 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0151341 Justin E. Wassel 0112931 Licensed Mental Health Counselor Gerald Lee Watchman 1067 Temporary License Robert D. Waterman 0144431 Clinical Mental Health Counselor (LPCC) Jvona K. Watkins Cowart 0144421 Marriage and Family Therapist Jvona K. Watkins Cowart 005469 Clinical Mental Health Counselor (LPCC) Melissa S. Watkins 0394 Clinical Mental Health Counselor (LPCC) Donald L. Watson 005683 Clinical Mental Health Counselor (LPCC) Julie A. Watson 1126 Clinical Mental Health Counselor (LPCC) Mary E. Watson 0109221 Professional Mental Health Counselor Teddy Watson 0154671 Clinical Mental Health Counselor (LPCC) Andrea R Watts 0111731 Licensed Mental Health Counselor Gregory Wauneka 0150061 Licensed Mental Health Counselor Gregory Wauneka 4195 Clinical Mental Health Counselor (LPCC) Cinnamon Weaver 0096751 Art Therapist Michael John Weaver Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 625 Fieldstream Blvd. Orlando FL 32825 Orange Active 07/06/2012 09/30/2013 P.O. Box 371 Vanderwagen NM 87326 McKinley Active 04/16/2008 03/30/2009 41 Verano Loop Santa Fe NM 87508 Santa Fe Active 06/30/1994 09/30/2013 511 Mill Pl. Ct. Sugar Land TX 77498 Fort Bend Active 10/25/2011 09/30/2013 511 Mill Pl. Ct. Sugar Land TX 77498 Fort Bend Active 10/25/2011 09/30/2013 2325 Happy Lane Clovis NM 88101 Curry Active 03/31/2001 09/30/2013 1401 Tulane Roswell NM 88201 Chaves Expired 09/30/1994 09/30/1998 11930 Menaul Blvd NE Suite 225C Albuquerque NM 87112 Bernalillo Active 09/30/2001 09/30/2013 P.O. Box 885 Portales NM 88130 Roosevelt Active 06/30/1994 09/30/2014 P.O. Box 907 Sandia Park NM 87047 Bernalillo Active 11/19/2007 09/30/2013 804 Palomas Dr. NE Albuquerque NM 87108 Bernalillo Active 11/05/2012 09/30/2014 7000 Louisiana Blvd NE Apt. 1209 Apt. 1209 Albuquerque NM 87109 7000 Louisiana Blvd NE Apt. 1209 Apt. 1209 Albuquerque NM 87109 2303 Malpais Road SW Albuquerque NM 87105 Bernalillo Upgraded 02/26/2008 09/30/2012 Bernalillo Active 05/18/2012 09/30/2013 Bernalillo Active 08/31/1999 09/30/2013 5931 Lake Nacoma San Antonio TX 78222 Bexar Expired 09/20/2006 09/30/2009 Page 324 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0135351 Mary Esther Webb-Tafoya 2172 Licensed Mental Health Counselor Gary L. Webb 0123771 Clinical Mental Health Counselor (LPCC) Jennifer Lynn Webb 0146981 Licensed Mental Health Counselor Jennifer Lynn Webb 0146321 Temporary License Tatum D. Webb 0127991 Alcohol and Drug Counselor Kathryn Ann Weber 0121701 Licensed Mental Health Counselor Nelda Sue Weber 0196 Clinical Mental Health Counselor (LPCC) Eve L. Wedeen 0541 Art Therapist Eve L. Wedeen 0111751 Clinical Mental Health Counselor (LPCC) Nan D. Wee 0124081 Clinical Mental Health Counselor (LPCC) Nan D. Wee 0148941 Alcohol and Drug Counselor Shiela K Weehunt 0155631 Temporary License Shiela K Weehunt 0098681 Temporary License Dorothy Marie Weeks 0134701 Professional Mental Health Counselor Gregory P Weeks Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 10468 Hodges Circle El Paso TX 79924 El Paso Active 10/06/2010 09/30/2013 8205 Spain NE, #106 Albuquerque NM 87109 Bernalillo Active 09/30/1994 09/30/2014 795 K Tramway Ln NE Albuquerque NM 87122 Bernalillo Active 06/17/2009 09/30/2013 795 K Tramway Ln NE Albuquerque NM 87122 Bernalillo Null and Void 02/02/2012 09/30/2012 2728 Virginia St. NE Albuquerque NM 87110 Bernalillo Active 01/17/2012 09/30/2013 1404 Monterey Pl. Santa Fe NM 87505 Santa Fe Active 12/09/2009 09/30/2013 3533 Old Mill Rd. NE Rio Rancho NM 87144 Sandoval Active 03/17/2009 09/30/2013 6666 4th Street NW Los Ranchos NM 87107 Bernalillo Active 05/31/1994 09/30/2014 6666 4th Street NW Los Ranchos NM 87107 Bernalillo Active 09/30/1994 09/30/2013 10512 Guadalajara NE Albuquerque NM 87111 Bernalillo Active 02/26/2008 09/30/2014 10512 Guadalajara NE Albuquerque NM 87111 Bernalillo Active 07/06/2009 09/30/2013 P.O. Box 385 La Luz NM 88337 Otero Null and Void 04/09/2012 11/30/2012 P.O. Box 385 La Luz NM 88337 Otero Active 12/14/2012 07/31/2013 PO Box 59 Jemez Springs NM 87025 Sandoval Active 11/30/2006 09/30/2013 P.O. Box 1183 El Prado NM 87529 Taos Active 08/31/2010 09/30/2013 Page 325 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0118021 Luscha Weeks 0146581 Clinical Mental Health Counselor (LPCC) Paul Michael Weeks 005849 Clinical Mental Health Counselor (LPCC) Pe Gerard Weideman 1457 Clinical Mental Health Counselor (LPCC) Emanuel O. Weigand 0105551 Professional Mental Health Counselor Amy Kathleen Weisent 0091431 Alcohol and Drug Counselor Chelly Weiss 0207 Clinical Mental Health Counselor (LPCC) Judie L. Weiss 0673 Clinical Mental Health Counselor (LPCC) Carolyn M. Weitzman 0136851 Clinical Mental Health Counselor (LPCC) Shelley A. Welch 0103301 Clinical Mental Health Counselor (LPCC) Richard P. Welker 0110241 Professional Mental Health Counselor Linette Simmons Weller 0150721 Alcohol and Drug Counselor Wellness From Within, P.C. 0134821 CEU Provider Certificate Esperansa G. Wells 0152231 Licensed Mental Health Counselor Esperansa G. Wells 0747 Temporary License Ken Wells, Ph.D. Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2518 Britt St NE Albuquerque NM 87112 Bernalillo Active 10/31/2008 09/30/2014 2417 Hiawatha NE Albuquerque NM 87112 Bernalillo Active 01/23/2012 09/30/2013 P.O. Box 1747 Mesilla NM 88046 Dona Ana Active 05/31/2002 09/30/2013 100 West 31St. Farmington NM 87401 San Juan Active 09/30/1994 09/30/2013 10310 Rafael Road SW Albuquerque NM 87121 Bernalillo Active 07/17/2007 09/30/2014 P.O. Box 70387 Albuquerque NM 87197 Bernalillo Active 03/21/2006 09/30/2013 7195 Bridgeview Avenue Las Vegas NM 87701 San Miguel Expired 09/30/1994 09/30/1999 14 Perry Street Newport RI 02840 Newport Retired 09/30/1994 09/30/2009 223 La Cruz Santa Fe NM 87501 Santa Fe Active 12/16/2010 09/30/2014 PO Box 31704 Santa Fe NM 87594 Santa Fe Active 05/01/2007 09/30/2014 P.O. Box 971051 El Paso TX 79997 El Paso Active 12/28/2007 09/30/2013 5645 Paradise Blvd. NW Suite E Albuquerque NM 87114 Bernalillo Active 06/14/2012 09/30/2013 113 N. Knoxville Ave. Portales NM 88130 Roosevelt Active 09/08/2010 09/30/2013 113 N. Knoxville Ave. Portales NM 88130 Roosevelt Null and Void 08/15/2012 03/31/2013 1814 Slate NW Albuquerque NM 87104 Bernalillo Active 08/30/1994 09/30/2013 Page 326 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0142191 Theresa E. Wells 2906 Substance Abuse Associate Thomas E. Welter 0155231 Clinical Mental Health Counselor (LPCC) Karen R. Wennberg 006143 Temporary License Phillip M. Werito 0139321 Substance Abuse Associate Jessica Werling 4749 Licensed Mental Health Counselor Jackie Lynne West 0104371 Alcohol and Drug Counselor Jackie Lynne West 1757 Licensed Mental Health Counselor Jacqueline J. West 0130471 Clinical Mental Health Counselor (LPCC) Laura A. West 0606 Clinical Mental Health Counselor (LPCC) John M. Westbrook 4046 Clinical Mental Health Counselor (LPCC) Wanda J. Westbrook 0134651 Alcohol and Drug Counselor Erica D. Westby 0107711 Clinical Mental Health Counselor (LPCC) Debra N. Westfall 0093711 Clinical Mental Health Counselor (LPCC) Paulette L. Whalen 0150271 Clinical Mental Health Counselor (LPCC) Travis Whelpley Substance Abuse Associate Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 945 S. Mesa Hills Dr. Apt. 3811 El Paso TX 79912 El Paso Active 08/05/2011 09/30/2014 1474 South St. Francis Drive Santa Fe NM 87505 Santa Fe Active 12/31/1999 09/30/2014 119 Fiesta St., Apt. 2 Santa Fe NM 87501 Santa Fe Active 11/29/2012 06/30/2013 HCR 79 Box 1544 Cuba NM 87013 Sandoval Expired 09/30/2001 09/30/2009 8400 Vista Clara LN SW Albuquerque NM 87121 Bernalillo Active 04/13/2011 09/30/2014 P.O. Box 275 Jarales NM 87023 Valencia Active 01/31/2000 09/30/2013 P.O. Box 275 Jarales NM 87023 Valencia Active 06/06/2007 09/30/2014 312 E. Berger Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2013 9601-B Rhode Island Ct. Clovis NM 88101 Curry Active 03/17/2010 09/30/2013 215 W. Broadway , Suite # 1 Hobbs NM 88240 Lea Active 07/31/1994 09/30/2014 P.O. Box 2303 Kirtland NM 87417 San Juan Active 09/30/1997 09/30/2014 1993 Siringo Rd Santa Fe NM 87505 Santa Fe Active 08/27/2010 09/30/2013 1700 Evergreen Socorro NM 87801 Socorro Active 09/26/2007 09/30/2013 13 Baca Grande Rd. Los Lunas NM 87031 Valencia Active 06/20/2006 09/30/2013 PO Box 375 Jal NM 88252 Lea Active 05/29/2012 09/30/2013 Page 327 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 005427 Barbara S. Whipple 3724 Alcohol and Drug Counselor Juanita A. Whisenhunt 005998 Alcohol and Drug Counselor Roy White Eagle 0097541 Alcohol and Drug Counselor Amanda Rae White 0152691 Substance Abuse Associate Christopher J. White 0102561 Licensed Mental Health Counselor Gary L. White 0590 Clinical Mental Health Counselor (LPCC) Karen S. White 1127 Professional Mental Health Counselor Leslie J. White 0147641 Clinical Mental Health Counselor (LPCC) Mark White 0862 Marriage and Family Therapist Mary A. White 0710 Clinical Mental Health Counselor (LPCC) Kintree Whitecloud 0120261 Clinical Mental Health Counselor (LPCC) Robert D. Whiting 0128911 Alcohol and Drug Counselor Barbara L. Whitlock 0134411 Clinical Mental Health Counselor (LPCC) Sarah D. Whitmire 0149151 Licensed Mental Health Counselor Sarah D. Whitmire Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 62 Camino Sur de Llano #8 Ranchos de Taos NM 87557 Taos Active 07/31/2000 09/30/2013 P.O. Box 22 Vadito NM 87579 Taos Active 03/31/1997 09/30/2014 15 Whipporwill Ln. Tijeras NM 87059 Bernalillo Active 02/28/2002 09/30/2013 700 E. Baja Hobbs NM 88240 Lea Expired 10/23/2006 09/30/2009 1335 Paseo del Pueblo Sur Taos NM 87571 Taos Active 08/24/2012 09/30/2013 725-5 Tramway Vista Loop NE Albuquerque NM 87122 Bernalillo Active 04/11/2007 09/30/2014 645 Morning Meadows Drive NE Rio Rancho NM 87144 Sandoval Expired 09/30/1994 09/30/2009 6749 Kelly Ann NE Albuquerque NM 87109 Bernalillo Active 07/31/1994 09/30/2013 5408 16th St. Lubbock TX 79416 Lubbock Active 03/01/2012 09/30/2013 5321 Van Christopher Dr. NE Albuquerque NM 87111 Bernalillo Active 06/30/1994 09/30/2014 5232 Saratoga Ct. NW Albuquerque NM 87120 Bernalillo Active 07/31/1994 09/30/2014 2100 North Fowler Street Hobbs NM 88240 Lea Active 02/05/2009 09/30/2013 1010 N. Virginia Roswell NM 88201 Chaves Active 01/20/2010 09/30/2013 13 Bundy Road Santa Fe NM 87506 Santa Fe Active 08/20/2010 09/30/2013 13 Bundy Road Santa Fe NM 87506 Santa Fe Active 04/16/2012 09/30/2013 Page 328 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0148701 Sarah D. Whitmire 0126351 Art Therapist Donna Lynne Whitney 2349 Substance Abuse Associate Betty Ann Suber Whiton 0152031 Professional Mental Health Counselor Shawn A. Whitty 0109811 Temporary License Theodore John Wiard 0133671 Clinical Mental Health Counselor (LPCC) James H. Widner, Jr. 0074 Alcohol and Drug Counselor Linda M. Wiebe 0150121 Clinical Mental Health Counselor (LPCC) Jessica Joan Wiggins 0130431 Clinical Mental Health Counselor (LPCC) Gregory J. Wightman 3215 Clinical Mental Health Counselor (LPCC) Wayne A. Wilcken 0817 Clinical Mental Health Counselor (LPCC) Karen R. Wilcox 3551 Professional Mental Health Counselor Karen R. Wilcox 3753 Alcohol and Drug Counselor Sandra F. Wilcox 0070981 Alcohol and Drug Counselor Cathleen S. Wilde 0148471 Clinical Mental Health Counselor (LPCC) Denise F. Wilder Temporary License Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 13 Bundy Road Santa Fe NM 87506 Santa Fe Active 03/30/2012 09/30/2013 2442 Cerrillos Rd. #400 Santa Fe NM 87505 Santa Fe Active 09/25/2009 09/30/2013 1900 Morningside Dr. NE Albuquerque NM 87110 Bernalillo Active 09/30/1994 09/30/2013 3954 Galina Ct. Las Cruces NM 88012 Dona Ana Active 08/13/2012 03/31/2013 07 Callecita P.O. Box 569 Arroyo Hondo NM 87513 311 Cielito Lindo PL NW Albuquerque NM 87114 Taos Active 12/11/2007 09/30/2013 Bernalillo Active 07/21/2010 09/30/2013 P.O. Box 5502 Farmington NM 87499 San Juan Active 04/30/1994 09/30/2014 641 Grecian NW Albuquerque NM 87107 Bernalillo Active 05/24/2012 09/30/2013 #6 Herrada Place Santa Fe NM 87508 Santa Fe Active 03/17/2010 09/30/2013 411 E. Maloney Gallup NM 87301 McKinley Active 01/03/1997 09/30/2013 2813 N. Morris Hobbs NM 88240 Lea Active 07/31/1994 09/30/2013 2813 N. Morris Hobbs NM 88240 Lea Active 01/31/1997 09/30/2013 214 E. Rainbow Ruidoso NM 88345 Lincoln Retired 03/31/1997 09/30/2009 29 Taft Rd Sandia Park NM 87047 Bernalillo Active 02/29/2004 09/30/2014 HC 64 Box 335 Santa Cruz NM 87567 Santa Fe Active 03/28/2012 10/31/2012 Page 329 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0069272 Sandra F. Wilder 0154241 Clinical Mental Health Counselor (LPCC) Amanda K. Wiles 0070961 Substance Abuse Associate Robin Lynn Wiley 2763 Clinical Mental Health Counselor (LPCC) Diane H. Wilhoite 2765 Clinical Mental Health Counselor (LPCC) Mary Wilke-Garcia 0910 Clinical Mental Health Counselor (LPCC) Susan C. Wilkinson Davis 0087431 Art Therapist Julie A. Wilkinson 0093361 Clinical Mental Health Counselor (LPCC) Fehrunissa M. Willett 3047 Clinical Mental Health Counselor (LPCC) Carrie L. Willey 0064471 Clinical Mental Health Counselor (LPCC) Carrie L. Willey 0143541 Alcohol and Drug Counselor William Clay Pearson 0135241 CEU Provider Certificate William Daumueller 0111641 CEU Provider Certificate William E. Dorman 0092641 CEU Provider Certificate Ronald W. Williams Sr. 005527 Alcohol and Drug Counselor Amy Williams Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 104 Shadow Mountain Drive 5754303662 Alamogordo NM 88310 3391 Apple Cross Pl. Las Cruces NM 88005 Otero Active 12/31/2003 09/30/2014 Dona Ana Active 10/18/2012 09/30/2014 4000 Milagro Oro Santa Fe NM 87507 Santa Fe Active 02/29/2004 09/30/2013 4200 Dara Dr. NE Rio Rancho NM 87144 Sandoval Active 12/31/1994 09/30/2013 5716 Aztec NE Albuquerque NM 87110 Bernalillo Active 06/30/1995 09/30/2013 9616 Paseo Del Rey NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2014 P.O. Box 7684 Ruidoso NM 88355 Lincoln Active 10/25/2005 09/30/2014 2 Cabezon Rd. Placitas NM 87043 Sandoval Active 06/11/2006 09/30/2014 12100 Melville Drive, #620 Montgomery TX 77356 Montgomery Active 05/31/1996 09/30/2013 12100 Melville Drive, #620 Montgomery TX 77356 Montgomery Active 09/30/2002 09/30/2013 830 Country Club Drive Gallup NM 87301 McKinley Active 09/29/2011 09/30/2013 3990 Nemesh Dr. Las Cruces NM 88005-1184 Dona Ana Active 09/30/2010 09/30/2013 1100Central Ave.SE Albuquerque NM 87105 Bernalillo Active 02/26/2008 09/30/2013 501 Campfire Rd. SE Rio Rancho NM 87124 Sandoval Active 05/05/2006 09/30/2013 P.O. Box 1293 Taos NM 87571 Taos Active 03/29/2005 09/30/2014 Page 330 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0795 Barry S. Williams 3370 Clinical Mental Health Counselor (LPCC) Betsy L. Williams 0106911 Clinical Mental Health Counselor (LPCC) Colleen M. Williams 0127351 Clinical Mental Health Counselor (LPCC) Daniel C. Williams 4964 Substance Abuse Associate Dianne Williams 0403 Licensed Mental Health Counselor Fredrick B. Williams 006109 Professional Mental Health Counselor Georgina Williams 0139191 Licensed Mental Health Counselor Georgina Williams 0091601 Clinical Mental Health Counselor (LPCC) Ingrid Stella Williams 0151041 Clinical Mental Health Counselor (LPCC) Jackson N. Williams 0628 Licensed Mental Health Counselor Janice Williams 1659 Clinical Mental Health Counselor (LPCC) Kay F. Williams 0153441 Clinical Mental Health Counselor (LPCC) Lisa I. Williams 0110541 Clinical Mental Health Counselor (LPCC) Mark T. Williams 3890 Alcohol and Drug Counselor Marvin A. Williams Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date P.O. Box 258 Eagle Nest NM 87718 Colfax Active 07/31/1994 09/30/2013 7801 Derickson NE Albuquerque NM 87109 Bernalillo Active 04/30/1997 09/30/2014 462 Wildwood Drive Alamogordo NM 88310 Otero Active 08/23/2007 09/30/2014 54 Saddle Clovis NM 88101 Curry Active 11/04/2009 09/30/2013 11612 Versailles Avenue, NE Albuquerque NM 87111-5349 Bernalillo Active 04/30/1999 09/30/2014 2472A 35th Street Los Alamos NM 87544 Los Alamos Retired 11/30/1994 09/30/2009 4568 Ridgeway Drive Los Alamos NM 87544 Los Alamos Expired 05/31/2002 09/30/2009 4568 Ridgeway Drive Los Alamos NM 87544 Los Alamos Active 04/05/2011 09/30/2014 516 W. 17th Clovis NM 88101 Curry Active 03/24/2006 09/30/2013 1000 Golden Yarrow Trail Bernalillo NM 87004 Sandoval Active 06/22/2012 09/30/2013 762 Loma Pino Loop NE Rio Rancho NM 87144-0585 Sandoval Active 12/31/1994 09/30/2014 2961 East Springs Road Las Cruces NM 88011 Dona Ana Active 08/30/1994 09/30/2014 10251 West 44th Ave. Wheat Ridge CO 80033 Jefferson Active 09/17/2012 09/30/2013 749 San Ysidro Road Las Cruces NM 88007 Dona Ana Active 01/23/2008 09/30/2013 P.O. Box 2298 Window Rock AZ 86515 Apache Retired 03/31/1997 09/30/2008 Page 331 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0090631 Megan J. Williams 0152771 Licensed Mental Health Counselor Megan J. Williams 4004 Art Therapist Orlinda Williams 0144301 Alcohol and Drug Counselor Sydney Williams 0127741 Substance Abuse Associate Teresa D. Williams 0153341 Substance Abuse Associate Teresa D. Williams 0112781 Temporary License Yvonne Eloise Williams 0130551 Clinical Mental Health Counselor (LPCC) Natalie Ann Williamson 0144441 Clinical Mental Health Counselor (LPCC) Leonor V. Willis 0108961 Clinical Mental Health Counselor (LPCC) Judith K. Willmore 005537 Clinical Mental Health Counselor (LPCC) Lu Ann Wilmeth 0063 Clinical Mental Health Counselor (LPCC) Christopher L. Wilmoth 0124621 Clinical Mental Health Counselor (LPCC) LaJena A. Wilmoth 0122051 Marriage and Family Therapist Adrienne Carol Wilson 0100751 Clinical Mental Health Counselor (LPCC) Codie Jo Wilson Professional Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 821 Baca St., #C Santa Fe NM 87505 Santa Fe Active 03/06/2006 09/30/2013 821 Baca St., #C Santa Fe NM 87505 Santa Fe Active 08/29/2012 09/30/2013 P.O. Box 4391 Gallup NM 87305 McKinley Active 06/30/1997 09/30/2014 6677 Augusta Hills Dr. Rio Rancho NM 87144 Sandoval Active 10/18/2011 09/30/2013 1607 Pennsylvania Roswell NM 88203 Chaves Active 11/30/2009 09/30/2013 1607 Pennsylvania Roswell NM 88203 Chaves Active 09/13/2012 01/31/2013 4816 Mesa Bonita Ct NW Albuquerque NM 87120 Bernalillo Active 04/09/2008 09/30/2014 8405 Vista Serena Lane SW Albuquerque NM 87121 Bernalillo Active 03/22/2010 09/30/2013 PO Box 15161 Las Cruces NM 88004 Dona Ana Active 10/25/2011 09/30/2013 3520 Anderson Ave. SE Albuquerque NM 87106 Bernalillo Active 11/08/2007 09/30/2013 P.O. Box 2016 Silver City NM 88062 Grant Active 12/31/2001 09/30/2013 PO Box 8923 Hot Springs Village AR 71910 Garland Active 04/30/1994 09/30/2013 P.O. Box 1643 Bernalillo NM 87004 Sandoval Active 07/20/2009 09/30/2013 3172 Rio Arriza Loop Las Cruces NM 88012 Dona Ana Active 03/30/2009 09/30/2013 PO Box 3915 Pagosa Springs CO 81147 Archuleta Active 02/07/2007 09/30/2014 Page 332 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0130281 Frances A. Wilson 0147121 Licensed Mental Health Counselor Frances A. Wilson 1661 Clinical Mental Health Counselor (LPCC) Hal K. Wilson 0119501 Clinical Mental Health Counselor (LPCC) Holly K Wilson 0076351 Alcohol and Drug Counselor James Lee Wilson 0122591 Substance Abuse Associate Jerry Wilson 1319 Alcohol and Drug Counselor Louis E. Wilson 005518 Clinical Mental Health Counselor (LPCC) Margaret M. Wilson 0132231 Clinical Mental Health Counselor (LPCC) Richard J. Wilson 0081541 Clinical Mental Health Counselor (LPCC) Robert M. Wilson 2767 Substance Abuse Associate Stanley Wilson 0118861 Clinical Mental Health Counselor (LPCC) Susan Clement Wilson 0977 Licensed Mental Health Counselor Carleene B. Wimberly 005779 Clinical Mental Health Counselor (LPCC) Deborah Komaiko Wimberly 0134401 Clinical Mental Health Counselor (LPCC) Waldo R. Winborn Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 2600 W. Zia Rd. Santa Fe NM 87505 Santa Fe Active 03/08/2010 09/30/2013 2600 W. Zia Rd. Santa Fe NM 87505 Santa Fe Active 02/09/2012 09/30/2013 P.O. Box 93 Cedar Crest NM 87008 Bernalillo Active 12/31/1994 09/30/2013 161 La Luz Gate Rd. Alamogordo NM 88310 Otero Active 01/15/2009 09/30/2013 P.O. Box 1705 Ruidoso Downs NM 88346 Lincoln Active 09/30/2004 09/30/2013 P.O. Box 2870 Shiprock NM 87420 San Juan Active 04/23/2009 09/30/2013 1017 Summit Drive NE Albuquerque NM 87106 Bernalillo Active 07/31/1994 09/30/2013 81 Canyon Ridge Drive Sandia Park NM 87047 Bernalillo Active 09/30/2000 09/30/2014 61 Herrada Road Santa Fe NM 87508 Santa Fe Active 05/20/2010 09/30/2013 7413 Mayflower NE Albuquerque NM 87109 Bernalillo Active 05/04/2005 09/30/2014 8 Buster Ridge Santa Fe NM 87505 Santa Fe Active 08/30/1994 09/30/2013 5 Dulce Road Santa Fe NM 87508 Santa Fe Retired 12/18/2008 09/30/2012 615 University Avenue Las Cruces NM 88005 Dona Ana Active 07/31/1994 09/30/2013 140 Calle Ojo Feliz Santa Fe NM 87505 Santa Fe Active 03/31/2001 09/30/2013 222 S. Tin Deming NM 88030 Luna Active 08/19/2010 09/30/2013 Page 333 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0421 Eileen J. Winfree 0069252 Professional Mental Health Counselor Camille C. Wingate 0088661 Marriage and Family Therapist Camille C. Wingate 0156231 Clinical Mental Health Counselor (LPCC) Sarah Jane Winger 0091441 Clinical Mental Health Counselor (LPCC) Lydia J. Winiecki 2768 Clinical Mental Health Counselor (LPCC) Larry Winn 0089441 Clinical Mental Health Counselor (LPCC) Jade Winter 3151 Marriage and Family Therapist Laren R. Winter 3481 Marriage and Family Therapist Laren R. Winter 0591 Alcohol and Drug Counselor Linda L. Winter 3638 Clinical Mental Health Counselor (LPCC) Linda L. Winter 3150 Alcohol and Drug Counselor ML Winter 3553 Marriage and Family Therapist ML Winter 0120601 Alcohol and Drug Counselor Tanya Christine Winter 0185 Licensed Mental Health Counselor Deborah A. Wirth Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 4398 Nambe Arc Las Cruces NM 88011 Dona Ana Active 05/31/1994 09/30/2013 P.O. Box 399 Cerrillos NM 87010 Santa Fe Active 12/31/2003 09/30/2014 P.O. Box 399 Cerrillos NM 87010 Santa Fe Active 12/20/2005 09/30/2014 6100 Cortaderia Street NE #3421 Albuquerque NM 87111 Bernalillo Active 01/15/2013 09/30/2014 3111 Cree Place Alamogordo NM 88310 Otero Active 03/21/2006 09/30/2013 3411 Ciniza Dr. Gallup NM 87301 McKinley Active 06/30/1995 09/30/2014 3805 Douglas Mac Arthur Road NE Albuquerque NM 87110 Bernalillo Active 01/25/2006 09/30/2013 8387 Gold Court Morrison CO 80465 Jefferson Active 02/28/1996 09/30/2013 8387 Gold Court Morrison CO 80465 Jefferson Active 03/31/1997 09/30/2013 837 Solar Road NW Albuquerque NM 87107 Bernalillo Active 07/31/1994 09/30/2013 837 Solar Road NW Albuquerque NM 87107 Bernalillo Active 03/31/1997 09/30/2014 8387 Gold Court Morrison CO 80465-2400 Jefferson Active 02/28/1996 09/30/2014 8387 Gold Court Morrison CO 80465-2400 Jefferson Active 03/31/1997 09/30/2013 8 Tarro Rd. Santa Fe NM 87508 Santa Fe Active 02/19/2009 09/30/2014 19 Vista Chicoma Rd. Santa Fe NM 87506 Santa Fe Active 06/30/1994 09/30/2013 Page 334 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0099151 Barbara Lynn Wisted 0559 Marriage and Family Therapist Thea R. Witt 0864 Clinical Mental Health Counselor (LPCC) Linney Wix 0147611 Art Therapist Kitrina W. Wiza 2850 Substance Abuse Associate Leona K. Woelk 0122091 Art Therapist Shelley Lynette Wolfe 005594 Clinical Mental Health Counselor (LPCC) Rose Marie Wolfenbarger 0748 Clinical Mental Health Counselor (LPCC) Rev. James A. Wolff 3291 Professional Mental Health Counselor Heidi S. Wolne 4209 Professional Mental Health Counselor Heidi S. Wolne 0132341 Art Therapist Monte W. Womble 0153521 Licensed Mental Health Counselor Monte W. Womble 0091561 Temporary License Ah Lin Wong 0108411 Licensed Mental Health Counselor Steven Hing Wong 0108421 Alcohol and Drug Counselor Steven Hing Wong Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date PO Box 427 Pecos NM 87552 San Miguel Active 12/14/2006 09/30/2013 3 Joya Ct. Santa Fe NM 87508-8881 Santa Fe Active 07/31/1994 09/30/2013 3500 Calle Del Ranchero Albuquerque NM 87106 Bernalillo Active 07/31/1994 09/30/2014 6650 Hwy 64 Bloomfield NM 87413 San Juan Active 03/01/2012 09/30/2013 P.O. Box 20016 Albuquerque NM 87154 Bernalillo Active 01/31/1997 09/30/2014 2729 Fairway Dr. Las Cruces NM 88011 Dona Ana Active 03/31/2009 09/30/2013 3000 Aztec Road NE, #255 Albuquerque NM 87107 Bernalillo Active 09/30/2001 09/30/2014 2338 Calle Luminoso Santa Fe NM 87505 Santa Fe Retired 07/31/1994 09/30/2008 14329 Nambe Ave. NE Albuquerque NM 87123 Bernalillo Active 12/31/1997 09/30/2013 14329 Nambe Ave. NE Albuquerque NM 87123 Bernalillo Active 01/31/1998 09/30/2013 2800 N. Roadrunner Pkwy #1202 Las Cruces NM 88011 Dona Ana Active 05/26/2010 09/30/2013 2800 N. Roadrunner Pkwy #1202 Las Cruces NM 88011 Dona Ana Active 09/18/2012 04/30/2013 10735 Del Sol Park Drive NW Albuquerque NM 87114 Bernalillo Active 03/23/2006 09/30/2013 1400 Carlisle Blvd. NE SuiteA Albuquerque NM 87110 1400 Carlisle Blvd. NE SuiteA Albuquerque NM 87110 Bernalillo Active 10/18/2007 09/30/2013 Bernalillo Active 10/18/2007 09/30/2013 Page 335 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0131801 Claire J. Wood 0109581 Temporary License Melissa Jane Wood 0110071 Licensed Mental Health Counselor Dawn M. Woodring 0129271 Licensed Mental Health Counselor Dawn M. Woodring 1324 Clinical Mental Health Counselor (LPCC) LouRae Woody 1325 Clinical Mental Health Counselor (LPCC) LouRae Woody 0116971 Marriage and Family Therapist Rebecca Irene Woody 0065012 Clinical Mental Health Counselor (LPCC) Lisa Dian Wooldridge 0117001 Clinical Mental Health Counselor (LPCC) Elizabeth Elaine Wooley 0092671 Licensed Mental Health Counselor Robin Lee Woolley 0132211 Alcohol and Drug Counselor Katherine M. Worman 0148201 Licensed Mental Health Counselor Katherine M. Worman 0153681 Temporary License Katherine M. Worman 1128 Temporary License Kerri F. Wormwood 1129 Art Therapist Kerri F. Wormwood Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1006 Paseo De La Cuma Santa Fe NM 87501 Santa Fe Active 05/05/2010 11/30/2010 29 Corte de Canoncito Cedar Crest NM 87008 Bernalillo Active 12/03/2007 09/30/2013 PO Box 81892 Albuquerque NM 87198 Bernalillo Expired 12/18/2007 09/30/2009 PO Box 81892 Albuquerque NM 87198 Bernalillo Active 02/01/2010 09/30/2013 P.O. Box 28565 Santa Fe NM 87592 Santa Fe Active 11/30/1994 09/30/2014 P.O. Box 28565 Santa Fe NM 87592 Santa Fe Active 12/31/1994 09/30/2013 1313 Franciscan Ave. Grants NM 87020 Cibola Active 09/24/2008 09/30/2014 1049 Calle Carmilita Santa Fe NM 87505 Santa Fe Active 12/31/2002 09/30/2014 137 South Indio Portales NM 88130 Roosevelt Active 09/29/2008 09/30/2014 201 Railroad Avenue P.O. Box 162 Wagon Mound NM 87752-0162 306 A. Guyora Lane Taos NM 87571 Mora Active 05/09/2006 09/30/2013 Taos Active 05/20/2010 09/30/2013 306 A. Guyora Lane Taos NM 87571 Taos Null and Void 03/21/2012 10/31/2012 306 A. Guyora Lane Taos NM 87571 Taos Active 09/25/2012 04/30/2013 812 Manzano St. NE Albuquerque NM 87110 Bernalillo Active 07/31/1994 09/30/2014 812 Manzano St. NE Albuquerque NM 87110 Bernalillo Active 06/30/1994 09/30/2013 Page 336 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0075651 Rebecca M. Wright 1663 Clinical Mental Health Counselor (LPCC) Sandi R. Wright 0030 Art Therapist Kurt A. Wulfekuhler 0136931 Clinical Mental Health Counselor (LPCC) Heather B Wulfers 0134631 Licensed Mental Health Counselor Jason W. Wyatt 0145521 Licensed Mental Health Counselor Jerry A. Wyatt 0153961 Clinical Mental Health Counselor (LPCC) Lauraly Wyatt 0153081 Clinical Mental Health Counselor (LPCC) Jason R. Yadley 2059 Alcohol and Drug Counselor Cynthia L. Yahn 0129791 Registered Independent Counselor Suzanne J. Yaramishyn 0082501 Clinical Mental Health Counselor (LPCC) Nancy K. Yates-Thrash 0147551 Clinical Mental Health Counselor (LPCC) Carvella Leah Yatsatie 0140221 Substance Abuse Associate Tricia Marie Yazzie 0147891 Temporary License Tricia Marie Yazzie 3680 Temporary License Jill A. Yeagley Alcohol and Drug Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1550 Avenida de Las Americas Santa Fe NM 87507 Santa Fe Active 09/14/2004 09/30/2013 2504 Calle De Los Ninos Santa Fe NM 87505 Santa Fe Active 09/30/1994 09/30/2013 715 Gold Ave. SE, Apt. A Albuquerque NM 87102 Bernalillo Active 07/31/1994 09/30/2014 2237 Camino Rancho Siringo Santa Fe NM 87505 Santa Fe Active 12/27/2010 09/30/2014 2908 Los Amigos Ct., Unit B Las Cruces NM 88011 Dona Ana Active 08/27/2010 09/30/2013 P.O. Box 323 Loving NM 88256 Eddy Active 12/12/2011 09/30/2013 PO Box 323 Loving NM 88256 Eddy Active 10/05/2012 09/30/2014 1459 Zepol Rd. #108 Santa Fe NM 87507 Santa Fe Active 09/05/2012 09/30/2013 1203 Dorothy NE Albuquerque NM 87112 Bernalillo Expired 11/30/1994 09/30/2009 325 E. Coronado Road Apt 2 Santa Fe NM 87505 Santa Fe Active 02/18/2010 09/30/2013 6361 Pinewood Drive Gilmer TX 75645 Upshur Active 06/09/2005 09/30/2014 PO Box 357 Zuni NM 87327 McKinley Active 02/28/2012 09/30/2013 4900 TB Catron Ave. NW Albuquerque NM 87114 Bernalillo Active 05/23/2011 03/31/2012 4900 TB Catron Ave. NW Albuquerque NM 87114 Bernalillo Active 03/15/2012 03/31/2013 2608 Wisconsin NE Albuquerque NM 87110 Bernalillo Active 02/28/1997 09/30/2014 Page 337 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0186 Patricia A. Yeomans 0150261 Clinical Mental Health Counselor (LPCC) Amanda Megan Young 0104931 Licensed Mental Health Counselor Darryl C. Young 0134891 Professional Mental Health Counselor Judy K. Young 0138761 Alcohol and Drug Counselor Kristi Michelle Young 0144411 Licensed Mental Health Counselor Kristi Michelle Young 0143781 Marriage and Family Therapist Rochelle Young 0143771 Alcohol and Drug Counselor Rochelle Young 005688 Clinical Mental Health Counselor (LPCC) Maya Linda Youngblood 2409 Clinical Mental Health Counselor (LPCC) Sheila M. Younger 0072851 Professional Mental Health Counselor Youth Development Inc. 0147981 CEU Provider Certificate Thea K. Yurman 0111821 Licensed Mental Health Counselor Pamela Joy Yus 0155271 Substance Abuse Associate Pamela Joy Yus 0465 Temporary License Mohammad Zabihi Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 1304 Maclovia Street Santa Fe NM 87505-3243 Santa Fe Expired 09/30/1994 09/30/2008 7100 Natalie Ave. NE Apt. 111 Albuquerque NM 87110 Bernalillo Active 05/29/2012 09/30/2013 804 Halter Dr. SW Albuquerque NM 87121 Bernalillo Active 06/26/2007 09/30/2014 13309 Rachel Rd. , S.E. Albuquerque NM 87123 Bernalillo Active 09/13/2010 09/30/2014 2536 Hovekamp Rd. Paducah KY 42003 McCracken Active 03/21/2011 09/30/2014 2536 Hovekamp Rd. Paducah KY 42003 McCracken Active 10/25/2011 09/30/2013 7501 Pickard NE Albuquerque NM 87110 Bernalillo Active 10/03/2011 09/30/2013 7501 Pickard NE Albuquerque NM 87110 Bernalillo Active 10/03/2011 09/30/2013 5217 N. 1st. Avenue Tucson AZ 85718 Pima Active 12/31/2001 09/30/2014 P.O. Box 254 Gila NM 88038 Grant Active 07/31/1994 09/30/2013 6301 Central NW Albuquerque NM 87105 Bernalillo Active 04/30/2003 09/30/2013 5416 Summer Ave.NE Albuquerque NM 87110 Bernalillo Active 03/19/2012 09/30/2013 2325 Cerrillos Road Santa Fe NM 87505 Santa Fe Active 03/05/2008 09/30/2014 2325 Cerrillos Road Santa Fe NM 87505 Santa Fe Active 11/29/2012 04/30/2013 5283 Na Pali St. NE Albuquerque NM 87111 Bernalillo Active 07/31/1994 09/30/2013 Page 338 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0093641 James Langley Zacharias 0123111 Marriage and Family Therapist Angela S. Zaffer 0149141 Clinical Mental Health Counselor (LPCC) Steven J. Zaffer 0069072 Licensed Mental Health Counselor Cynthia Zambrelli 0123351 Licensed Mental Health Counselor KC N. Zamora 0065652 Clinical Mental Health Counselor (LPCC) Phyllis D. Zamorski 0081011 Clinical Mental Health Counselor (LPCC) Tara E. Zanghi 0105011 Licensed Mental Health Counselor Lauren M. Zarozny 0125351 Clinical Mental Health Counselor (LPCC) Kathryn Michelle Zavitz 0146451 Licensed Mental Health Counselor Kathryn Michelle Zavitz 2352 Clinical Mental Health Counselor (LPCC) Geneva W. Zawistoski 0066802 Professional Mental Health Counselor Adrian Zazueta 0098111 Alcohol and Drug Counselor Shawn E. Zeimetz 2061 Marriage and Family Therapist Nina Zelevansky 0136921 Clinical Mental Health Counselor (LPCC) Hannah A. Zell Licensed Mental Health Counselor Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 616 Flint Ridge Trail SE Albuquerque NM 87123 Bernalillo Active 06/20/2006 09/30/2013 1413 Danzante SE Rio Rancho NM 87124 Sandoval Active 05/22/2009 09/30/2013 1413 Danzante Dr. SE Rio Rancho NM 87124 Sandoval Active 04/16/2012 09/30/2013 1524 Camino Real Hobbs NM 88240 Lea Active 12/31/2003 09/30/2014 15210 Redbird Manor San Antonio TX 78253 Bexar Active 06/01/2009 09/30/2013 11116 Double Eagle NE Albuquerque NM 87111 Bernalillo Active 02/28/2003 09/30/2014 120 Spruce St Santa Fe NM 87501 Santa Fe Active 04/11/2005 09/30/2014 1103 Caminito Alegre Santa Fe NM 87501 Santa Fe Active 06/27/2007 09/30/2014 821 Girard NE Albuquerque NM 87106 Bernalillo Active 08/18/2009 09/30/2013 821 Girard NE Albuquerque NM 87106 Bernalillo Active 01/19/2012 09/30/2013 8910 Princess Jeanne Ave. NE Albuquerque NM 87112 Bernalillo Active 09/30/1994 09/30/2014 107 N. Cotton St. El Paso TX 79901 El Paso Active 06/30/2003 09/30/2014 84016305 Joann Place NE Albuquerque NM 87109 Bernalillo Expired 11/07/2006 09/30/2009 P.O. Box 23079 Santa Fe NM 87502 Santa Fe Active 09/30/1994 09/30/2013 210 Morningside SE Albuquerque NM 87108 Bernalillo Active 12/27/2010 09/30/2014 Page 339 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0112181 Melissa Zellner 0116861 Clinical Mental Health Counselor (LPCC) Michael Joseph Zengerle 0064031 Substance Abuse Associate Debra M. Zengerly 0086021 Substance Abuse Associate Yoli Zentella 2060 Clinical Mental Health Counselor (LPCC) David C. Zerbst 2779 Clinical Mental Health Counselor (LPCC) Ollie Ziehl 005833 Professional Mental Health Counselor Sandra L. Zielinski 0144061 Professional Mental Health Counselor Scott James Ziemba 1667 Marriage and Family Therapist Linda L. Zimmerman 0142471 Clinical Mental Health Counselor (LPCC) Mary Jane Zimmerman 0132961 Licensed Mental Health Counselor Juliane Ziter 0981 Licensed Mental Health Counselor Monica L. Zmuda 3385 Clinical Mental Health Counselor (LPCC) Jill E. Zomerhuis 0067192 Art Therapist Caryle Hopkins Zorumski 0114451 Clinical Mental Health Counselor (LPCC) Lea Anne Zukowski Clinical Mental Health Counselor (LPCC) Printed: 01/15/2013 General Address County License Status Issue Date Expiration Date 13121 Neon Ave NE Albuquerque NM 87112 Bernalillo Active 06/05/2008 09/30/2014 P.O. Box 2414 Espanola NM 87532 Rio Arriba Active 09/17/2008 09/30/2014 307 N.12th Belen NM 87002 Valencia Expired 08/31/2002 09/30/2009 P.O. 1551 West Branch Las Vegas NM 87701 San Miguel Active 09/08/2005 09/30/2014 60 Arroyo Calabasas Road Santa Fe NM 87506 Santa Fe Active 03/31/1995 09/30/2014 P.O. Box 1294 Mesilla Park NM 88047 Dona Ana Active 08/30/1994 09/30/2013 770 Loma Verde Lane Las Cruces NM 88011-0902 Dona Ana Active 12/31/2001 09/30/2013 30 Tome Hill Road Los Lunas NM 87031 Valencia Active 10/12/2011 09/30/2013 4 Shadow View Ct. Los Lunas NM 87031 Valencia Active 09/30/1994 09/30/2013 4808 Teodocio St. NW Albuquerque NM 87107 Bernalillo Active 08/17/2011 09/30/2014 1215 Sigma Chi NE Albuquerque NM 87106 Bernalillo Active 06/16/2010 09/30/2013 1008 Hope Place NE Albuquerque NM 87123-4711 Bernalillo Active 06/30/1994 09/30/2013 295 Alamosa NW Albuquerque NM 87107 Bernalillo Active 01/31/2000 09/30/2013 515 Gusdorf Road Suite 1 Taos NM 87571 3709 Erbbe St NE Albuquerque NM 87111 Taos Active 07/31/2003 09/30/2014 Bernalillo Active 06/12/2008 09/30/2014 Page 340 of 341 State of New Mexico Regulation and Licensing ACTIVE LICENSE INFORMATION BY TYPE Profession: Counseling and Therapy License No. Licensee Name License Type 0114951 Nora Elizabeth Zulick 0127591 Licensed Mental Health Counselor Diana Catharine Zumas 0083421 Licensed Mental Health Counselor Antoinette M. Zunich 0116191 Licensed Mental Health Counselor Ruben Zurita Clinical Mental Health Counselor (LPCC) General Address County License Status Issue Date Expiration Date 6916 White Pine Pl. NE Albuquerque NM 87109 Bernalillo Active 07/03/2008 03/31/2014 5353 E. Willard Street Tucson AZ 85712 Pima Active 11/20/2009 09/30/2013 300 Dona Ana Rd. SW Deming NM 88030 Luna Active 07/01/2005 09/30/2014 3700 Santa Susana Pl NE Albuquerque NM 87111 Bernalillo Active 08/15/2008 09/30/2014 Total Licenses: Printed: 01/15/2013 5,102 Page 341 of 341
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