Individual
JULIE A MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
Mailing address
2818 VEREDA PONIENTE, SANTA FE, NM 87507-9235
(505) 424-4930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0105251
NM
101YP2500X
Professional Counselor
79861
NM
Other
Enumeration date
11/22/2006
Last updated
08/28/2007
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