Organization
EA, BUEN CAMINO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDEL RAMIREZ (OWNER)
(505) 910-2671
Entity
Organization
Contact information
Practice address
3539 THAXTON AVE SE, ALBUQUERQUE, NM 87106-1628
(505) 910-2671
Mailing address
PO BOX 4352, ALBUQUERQUE, NM 87196-4352
(505) 910-2671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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