Organization
BOUNCE BACK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA LEE DURANT LPCC (CLINICAL DIRECTOR)
(505) 328-0301
Entity
Organization
Contact information
Practice address
13204 BUCKSKIN RD NE, ALBUQUERQUE, NM 87111-8223
(505) 373-3491
Mailing address
13204 BUCKSKIN RD NE, ALBUQUERQUE, NM 87111-8223
(505) 373-3491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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