Individual
VENUS ETSITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6520
(505) 265-7074
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6520
(505) 265-7074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0201391
NM
Other
Enumeration date
09/22/2016
Last updated
01/27/2020
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