Individual
KELLY E. ANALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 QUINCY, ALBUQUERQUE, NM 87108
(505) 234-6067
Mailing address
146 QUINCY ST NE, ALBUQUERQUE, NM 87108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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