Individual
ANDREW MCENCROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
4213 MONTGOMERY BLVD NE STE C-4213, ALBUQUERQUE, NM 87109-1103
(505) 498-3807
Mailing address
4213 MONTGOMERY BLVD NE STE C-4213, ALBUQUERQUE, NM 87109-1103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2025-0190
NM
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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