Individual
MICHAEL LOUIS VERRILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6004 TIERRA ST NE, APT. A, ALBUQUERQUE, NM 87111-7035
(551) 804-7450
Mailing address
6004 TIERRA ST NE, APT. A, ALBUQUERQUE, NM 87111-7035
(551) 804-7450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0127471
NM
101YM0800X
Mental Health Counselor
Primary
0127461
NM
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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