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Individual

JULIE AMAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Mailing address
6309 SANTO DOMINGO ST NW, ALBUQUERQUE, NM 87120-2280
(505) 922-1514

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0180401
NM

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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