Individual
ROLANDO BENAVIDEZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10511 GOLF COURSE RD NW, SUITE 102, ALBUQUERQUE, NM 87114-5916
(505) 717-1155
Mailing address
10511 GOLF COURSE RD NW, SUITE 102, ALBUQUERQUE, NM 87114-5916
(505) 717-1155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0112001
NM
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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