Individual
PATRICIA DIANE FORDYCE-MONTANARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
11 COUNTY ROAD 2952, AZTEC, NM 87410-9770
(505) 333-2334
Mailing address
PO BOX 1362, AZTEC, NM 87410-1362
(505) 333-2334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0132941
NM
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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