Individual
BRANDI LEWARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 OSUNA RD NE STE H4G1, ALBUQUERQUE, NM 87107-5952
(345) 277-8505
Mailing address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CTB-2024-0325
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0576
NM
Other
Enumeration date
05/14/2024
Last updated
08/13/2024
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