Individual
MS. TIFFANY NICOLE ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA/PLMSW
Contact information
Practice address
6100 SEAGULL ST NE STE B-200, ALBUQUERQUE, NM 87109-2500
(877) 299-1655
Mailing address
6100 SEAGULL STREET NE SUITE B-200, ALBUQUERQUE, NM 87109
(877) 299-1655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0167841
NM
Other
Enumeration date
06/11/2015
Last updated
07/20/2017
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