Individual
MR. DANA J PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
920 CARDENAS DR NE, ALBUQUERQUE, NM 87108-1720
(505) 266-8166
Mailing address
920 CARDENAS DR NE, ALBUQUERQUE, NM 87108-1720
(505) 266-8166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0095841
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202008008
PRESBYTERIAN PROVIDER ID
NM
Enumeration date
11/02/2006
Last updated
12/14/2015
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