Individual
AMANDA L MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., LPCC
Contact information
Practice address
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 750-0405
Mailing address
6300 RIVERSIDE PLAZA LN NW STE 100, ALBUQUERQUE, NM 87120-1908
(505) 750-0405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0184171
NM
Other
Enumeration date
08/30/2012
Last updated
01/26/2025
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