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Individual

RHONDA L PRUIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2403 SAN MATEO BLVD NE, SUITE S-14, ALBUQUERQUE, NM 87110-4058
(505) 830-6500
(505) 830-6527
Mailing address
2403 SAN MATEO BLVD NE, SUITE S-14, ALBUQUERQUE, NM 87110-4058
(505) 830-6500
(505) 830-6527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMHC - 0089311
NM
101YP2500X
Professional Counselor
0129901
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39450317
NM
Enumeration date
08/05/2006
Last updated
06/10/2011
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