Individual
NANCY ELLEN MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
9741 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-1401
(505) 266-7711
(505) 268-5046
Mailing address
2530 VIRGINIA ST NE, ALBUQUERQUE, NM 87110-4659
(505) 263-1982
(505) 275-0296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0110621
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37436228
—
NM
Enumeration date
06/18/2007
Last updated
01/27/2010
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