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Individual

MR. ROBERT ALEXANDER SAN-CLAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
1001 LUNA CIRCLE NW, ALBUQUERQUE, NM 87102
(505) 264-4457
(505) 345-1295
Mailing address
1001 LUNA CIR NW, ALBUQUERQUE, NM 87102-1973
(505) 264-4457
(505) 345-1295

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0161331
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71409505
DD WAIVER #
NM
Enumeration date
04/03/2007
Last updated
11/15/2013
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