Organization
FORENSIC TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESE MICHELLE DURAN MA, LPCC, LADAC (OWNER, AGENCY DIRECTOR)
(505) 350-5907
Entity
Organization
Contact information
Practice address
111 GOLD AVE SE, ALBUQUERQUE, NM 87102-3430
(505) 350-5907
Mailing address
4 LEIBEL CT, LOS LUNAS, NM 87031-5241
(505) 350-5907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0093551
NM
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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