Individual
ANDREW CONTICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
12306 MENAUL BLVD NE, SUITE, C, ALBUQUERQUE, NM 87112-1781
(505) 254-1195
Mailing address
PO BOX 52063, ALBUQUERQUE, NM 87181-2063
(505) 254-1115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0115971
NM
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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