Individual
BRIANNA BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
(505) 355-2611
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
(505) 355-2611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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