Individual
MS. CATHLEEN S WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
3321 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-1966
(505) 269-2429
Mailing address
29 TAFT RD, SANDIA PARK, NM 87047-7907
(505) 269-2429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0070981
NM
Other
Enumeration date
06/10/2010
Last updated
03/27/2017
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