Individual
MRS. GINA M CIVEROLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LPCC DAPA
Contact information
Practice address
2450 ALAMO AVE SE, C/O ASAP, ALBUQUERQUE, NM 87106-3204
(505) 925-2400
(505) 925-2411
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1482
NM
Other
Enumeration date
01/11/2006
Last updated
05/02/2012
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