Individual
MS. CHRISTINA R CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
1610 SAN PEDRO NE #A, #A, ALBUQUERQUE, NM 87110
(505) 265-0753
(505) 268-5722
Mailing address
1610 SAN PEDRO NE #A, #A, ALBUQUERQUE, NM 87110
(505) 265-0753
(505) 268-5722
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M 5252
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72073730
—
NM
Enumeration date
04/13/2007
Last updated
09/24/2020
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