Individual
LUCIA DARLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 UNSER BLVD NW, SW MESA CLINIC, ALBUQUERQUE, NM 87121-1927
(505) 925-4814
Mailing address
704 2ND ST SW, ALBUQUERQUE, NM 87102-4119
(773) 682-0535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1266
NM
103TC2200X
Clinical Child & Adolescent Psychologist
071007548
IL
103TF0000X
Family Psychologist
071007548
IL
Other
Enumeration date
05/12/2011
Last updated
04/12/2013
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