Individual
MARYJO ELLEN ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10019 KING RANCH LN SW, ALBUQUERQUE, NM 87121-5311
(505) 503-1047
Mailing address
10019 KING RANCH LN SW, ALBUQUERQUE, NM 87121-5311
(505) 331-6404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0165641
NM
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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