Individual
MRS. DYLAN OTTEMILLER DRUSEDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
707 BROADWAY BLVD NE STE 103, ALBUQUERQUE, NM 87102-2300
(505) 933-4639
Mailing address
104 SERENITY HILLS PL SE, ALBUQUERQUE, NM 87123-3970
(717) 495-9004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0194881
NM
Other
Enumeration date
01/25/2017
Last updated
02/14/2019
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