Individual
MR. MARCOS A REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2000
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0169001
NM
101Y00000X
Counselor
0177811
NM
101YM0800X
Mental Health Counselor
P84090
NY
101YP2500X
Professional Counselor
Primary
CCMH0177811
NM
Other
Enumeration date
09/24/2012
Last updated
06/08/2024
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