Organization
BONNIE G. MILLER, LPCC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE G MILLER (LPCC)
(505) 270-9458
Entity
Organization
Contact information
Practice address
101 HOSPITAL LOOP NE, SUITE 215, ALBUQUERQUE, NM 87109-2129
(505) 270-9458
Mailing address
101 HOSPITAL LOOP NE, SUITE 215, ALBUQUERQUE, NM 87109-2129
(505) 270-9458
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0088311
NM
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0088311
NM
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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