Individual
JOSHUA GROTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Mailing address
1822 SOMERVELL ST NE, ALBUQUERQUE, NM 87112-2836
(505) 907-8048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0217661
NM
101YP2500X
Professional Counselor
CCMH0217661
NM
Other
Enumeration date
08/25/2008
Last updated
12/13/2024
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