Individual
GRACE NOEMI ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 VIA GLORIETA, SUNLAND PARK, NM 88063-9629
(915) 549-2097
(915) 549-2097
Mailing address
861 VIA GLORIETA, SUNLAND PARK, NM 88063-9629
(915) 549-2097
(915) 549-2097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2024-0439
NM
Other
Enumeration date
10/04/2022
Last updated
06/22/2024
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