Individual
ANDREA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
718 CENTRAL AVE SW, ALBUQUERQUE, NM 87102-3008
(505) 453-4304
Mailing address
718 CENTRAL AVE SW, ALBUQUERQUE, NM 87102-3008
(505) 453-4303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0446
NM
Other
Enumeration date
03/08/2020
Last updated
07/23/2024
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