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Individual

SAMMY R DURAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
3600 MENAUL BLVD NE STE E, ALBUQUERQUE, NM 87110-2861
(505) 323-3785
(505) 323-3850
Mailing address
3600 MENAUL BLVD NE STE E, ALBUQUERQUE, NM 87110-2861
(505) 323-3785
(505) 323-3850

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0100141
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470884533
NM
Enumeration date
04/12/2007
Last updated
08/06/2019
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