Individual
MRS. IRENE MARIE TRIVIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 WYOMING BLVD NE, STE. 101, ALBUQUERQUE, NM 87112-1035
(505) 404-0717
(505) 999-1172
Mailing address
9112 SABINAL DR NW, ALBUQUERQUE, NM 87114-4569
(719) 494-6757
(505) 999-1172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0126211
NM
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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