Individual
MS. REBECCA HATHAWAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
6000 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-6658
(505) 873-2761
(505) 873-2819
Mailing address
6000 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-6658
(505) 873-2761
(505) 873-2819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0074461
NM
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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