Individual
AMY DIANE OSBORNE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
739 DON PASQUAL, LOS LUNAS, NM 87031
(505) 865-3350
Mailing address
PO BOX 518, LOS LUNAS, NM 87031
(505) 865-3350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0061601
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62082884
—
NM
Enumeration date
02/15/2006
Last updated
07/08/2007
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