Individual
LOU PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
2131 LEAD AVE SE, ALBUQUERQUE, NM 87106-4007
(505) 895-0147
(505) 441-2954
Mailing address
2824 WASHINGTON ST NE, ALBUQUERQUE, NM 87110-2930
(505) 492-8440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0288
NM
Other
Enumeration date
05/25/2024
Last updated
05/28/2024
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