Individual
MR. GEORGE MICHAEL LANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LADAC
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6560
(505) 265-7045
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6560
(505) 265-7045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0122801
NM
101YM0800X
Mental Health Counselor
Primary
0122811
NM
Other
Enumeration date
08/25/2009
Last updated
05/24/2011
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