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Individual

LEN FOLLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
3420 CONSTITUTION AVE NE, SUITE B, ALBUQUERQUE, NM 87106-1238
(505) 450-5227
Mailing address
520 14TH ST NW, ALBUQUERQUE, NM 87104-1322
(505) 450-5227

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3100
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08156034
NM
05
36080721
NM
01
NM101901
VALUE OPTIONS NEW MEXICO
NM
Enumeration date
08/19/2006
Last updated
07/09/2007
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