Individual
MS. ANNIE C VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
123 MADEIRA DRIVE SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 243-5342
Mailing address
123 MADEIRA DRIVE SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 243-5342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0065202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065202
METHADONE PROVIDER
NM
Enumeration date
10/02/2012
Last updated
10/02/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us