Individual
DONNA MARIE GIAQUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
190 CENTRAL PARK SQ, SUITE 105, LOS ALAMOS, NM 87544-4001
(505) 662-1419
(505) 672-1739
Mailing address
190 CENTRAL PARK SQ, SUITE 105, LOS ALAMOS, NM 87544-4001
(505) 662-1419
(505) 672-1739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3837
NM
101YM0800X
Mental Health Counselor
0049
NM
103T00000X
Psychologist
5251
NM
103TS0200X
School Psychologist
Primary
037148
NM
Other
Enumeration date
10/07/2005
Last updated
03/03/2011
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