Individual
PAMELA ANN LIEURANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(150) 599-1647
(150) 525-6544
Mailing address
PO BOX 70552, ALBUQUERQUE, NM 87197-0552
(150) 599-1619
(150) 525-6544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0479953
NM
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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