Individual
SHARLENE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
2625 PENNSYLVANIA ST NE, SUITE 500, ALBUQUERQUE, NM 87110-3615
(505) 232-9115
Mailing address
9900 SPAIN RD NE, APT G2036, ALBUQUERQUE, NM 87111-1988
(505) 352-4019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0102951
NM
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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