Individual
GREGORY ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
Mailing address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0132721
NM
Other
Enumeration date
10/20/2010
Last updated
11/20/2010
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