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Individual

MS. NAN DENICE WEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC LADAC

Contact information

Practice address
10512 GUADALAJARA AVE NE, ALBUQUERQUE, NM 87111-1719
(505) 373-9065
Mailing address
10512 GUADALAJARA AVE NE, ALBUQUERQUE, NM 87111-1719
(505) 373-9065

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0124081
NM
101YP2500X
Professional Counselor
Primary
0111751
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
59572833
NM
Enumeration date
11/08/2005
Last updated
01/28/2014
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