Individual
MR. GREGORY WAUNEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, NCC
Contact information
Practice address
625 TRUMAN ST. NE, ALBUQUERQUE, NM 87110-3972
(505) 938-7131
Mailing address
625 TRUMAN ST NE, ALBUQUERQUE, NM 87110-6443
(505) 938-7131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0111731
NM
101YP2500X
Professional Counselor
Primary
0150061
NM
Other
Enumeration date
06/15/2009
Last updated
03/04/2013
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