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Individual

LENAN RUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-BC, LPCC, LPAT

Contact information

Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 266-7711
Mailing address
212 JEFFERSON ST NE APT A, ALBUQUERQUE, NM 87108-1313
(505) 266-7711

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPAT 1046
NM
101YP2500X
Professional Counselor
Primary
LPCC 0104491
NM

Other

Enumeration date
09/18/2009
Last updated
09/18/2009
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