Individual
MS. TANYA GAYLE MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LADAC
Contact information
Practice address
2600 MARBLE NE, ALBUQUERQUE, NM 87108-1315
(505) 272-6648
Mailing address
412 CAGUA DR NE, ALBUQUERQUE, NM 87108-1825
(505) 238-7830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0096341
NM
101YM0800X
Mental Health Counselor
Primary
0084871
NM
Other
Enumeration date
06/06/2007
Last updated
11/15/2024
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