Individual
GRACE AMBER OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7027 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1589
(505) 880-0100
Mailing address
7027 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1589
(505) 880-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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