Individual
DR. JESUS G. GARCIA-PRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5100 SECOND STREET NW, ALBUQUERQUE, NM 87107-4009
(505) 342-3799
(505) 342-3785
Mailing address
12441 TOWNER AVE NE, ALBUQUERQUE, NM 87112-3659
(505) 294-8060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2632
NM
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92433286
—
NM
01
—
NM101546
VALUE OPTIONS
NM
Enumeration date
12/12/2006
Last updated
07/08/2007
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