Individual
DEREK COLIN VALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
(505) 869-4463
(505) 869-4888
Mailing address
PO BOX 580, ISLETA, NM 87022-0580
(505) 869-3200
(505) 869-4888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWB-2024-0852
NM
Other
Enumeration date
08/21/2024
Last updated
09/05/2024
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