Provider Demographics
NPI:1932453933
Name:FREEMAN-MAZE, RHONDA (LPC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:FREEMAN-MAZE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-3419
Mailing Address - Country:US
Mailing Address - Phone:505-219-6645
Mailing Address - Fax:
Practice Address - Street 1:135 DP RD STE 108
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-3317
Practice Address - Country:US
Practice Address - Phone:505-219-6645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCBT-2025-0207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional