Individual
MRS. DANIELLE LIEGH WYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6121 INDIAN SCHOOL RD, SUITE 141, ALBUQUERQUE, NM 87110
(505) 888-1362
Mailing address
6121 INDIAN SCHOOL RD NE STE 141, ALBUQUERQUE, NM 87110-3176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0188551
NM
Other
Enumeration date
09/08/2017
Last updated
06/16/2018
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