Organization
BLUE FOX WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIERDRE RYLENE WILSON (CEO)
(505) 421-0814
Entity
Organization
Contact information
Practice address
4343 PAN AMERICAN FWY NE STE 221, ALBUQUERQUE, NM 87107-6834
(505) 421-0814
Mailing address
4343 PAN AMERICAN FWY NE STE 221, ALBUQUERQUE, NM 87107-6834
(505) 421-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
04/27/2026
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