Individual
TALIA SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11005 SPAIN RD NE STE 15, ALBUQUERQUE, NM 87111-1871
(505) 322-6837
Mailing address
7401 SAN PEDRO DR NE TRLR 112, ALBUQUERQUE, NM 87109-4601
(505) 236-3350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTL0198091
NM
Other
Enumeration date
07/30/2018
Last updated
05/25/2023
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