Individual
TERESA PUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87102-2706
(505) 933-4639
Mailing address
12021 SKYLINE RD NE APT 2624, ALBUQUERQUE, NM 87123-3087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0219771
NM
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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