Individual
MRS. MARTHA ROSS KRONSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC
Contact information
Practice address
1501 SAN PEDRO DR SE, SOCIAL WORK (MAIL CODE 122-H), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 222-3654
Mailing address
1501 SAN PEDRO DR SE, SOCIAL WORK (MAIL CODE 122-H), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 222-3654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0156121
NM
1041C0700X
Clinical Social Worker
Primary
C-09303
NM
Other
Enumeration date
08/01/2013
Last updated
09/27/2016
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