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Individual

ELENA MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3946 RIO GRANDE BLVD NW SUITE A, ALBUQUERQUE, NM 87107
(505) 980-0119
Mailing address
3532 YOSEMITE DR NE, ALBUQUERQUE, NM 87111-5450
(505) 980-0119

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0219101
NM

Other

Enumeration date
09/08/2021
Last updated
09/08/2021
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