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Individual

WENDY TARYN DELUCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, LPCC

Contact information

Practice address
1503 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 243-2551
Mailing address
1503 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 243-2551

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0127081
NM
101YP2500X
Professional Counselor
Primary
T-0155301
NM

Other

Enumeration date
11/29/2012
Last updated
12/03/2012
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