Individual
BARBARA A DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMT
Contact information
Practice address
625 KINGMAN AVE APT B, BOX 66, GRANTS, NM 87020-4104
(505) 699-2254
Mailing address
PO BOX 66, GRANTS, NM 87020-0066
(505) 699-2254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0091361
NM
173C00000X
Reflexologist
2903
NM
225700000X
Massage Therapist
Primary
LMT 2903
NM
Other
Enumeration date
09/10/2007
Last updated
06/10/2008
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