Individual
MARIA JENNIFER VICUNA NAGORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(505) 856-7103
Mailing address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(505) 856-7103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0141951
NM
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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