Individual
LYNN A HILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
404 SAN MATEO BLVD NE, SUITE 12, ALBUQUERQUE, NM 87108-5547
(505) 925-4052
(505) 925-4055
Mailing address
1718 ANDERSON PL SE, ALBUQUERQUE, NM 87108-4406
(505) 268-5633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-04908
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36137511
—
NM
Enumeration date
07/15/2006
Last updated
07/09/2007
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