Individual
PAUL CONDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 REBA AVE SW, ALBUQUERQUE, NM 87121-9001
(505) 550-3687
Mailing address
9201 REBA AVE SW, ALBUQUERQUE, NM 87121-9001
(505) 550-3687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-07952
NM
Other
Enumeration date
06/25/2010
Last updated
11/20/2012
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