Individual
MR. EDWARD SEAMUS GENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1231 CANDELARIA RD NW, ALBUQUERQUE, NM 87107-2767
(505) 345-3244
Mailing address
1605 LOS LUCEROS RD NW, ALBUQUERQUE, NM 87104-2667
(505) 615-4235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2024-0355
NM
Other
Enumeration date
11/18/2022
Last updated
06/20/2024
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