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Individual

DR. CONNIEGAIL G. HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND, RN, CADS

Contact information

Practice address
6118 EDITH BLVD NE UNIT 38, ALBUQUERQUE, NM 87107-5090
(505) 343-0552
Mailing address
6118 EDITH BLVD NE UNIT 38, ALBUQUERQUE, NM 87107-5090
(505) 343-0552

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NM

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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