Organization
HILLSIDE COMMUNITY CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CORREU NETTLE MD MINISTER (ASSOCIATE MINISTER COUNSELING PROG)
(505) 254-2606
Entity
Organization
Contact information
Practice address
435 JEFFERSON SE, ALBUQUERQUE, NM 87108
(505) 254-2606
Mailing address
435 JEFFERSON SE, ALBUQUERQUE, NM 87108
(505) 254-2606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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