Individual
CHRISTINE JOHN REDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
862 AVENIDA PASTORAL NW, LOS LUNAS, NM 87031-8304
(055) 917-5297
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34008086A
IN
1041C0700X
Clinical Social Worker
Primary
C-06254
NM
1041S0200X
School Social Worker
I 6254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8650021
—
NM
Enumeration date
04/18/2007
Last updated
02/27/2025
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