Individual
MANUELA MONDLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BLDG 3-100, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 212-7001
Mailing address
1101 MEDICAL ARTS AVE NE, BLDG 3-100, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 212-7001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0138651
NM
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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