Individual
MARIE AURORA LAJUENESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADAC, LADAC
Contact information
Practice address
1528 FIVE POINTS RD SW, ALBUQUERQUE, NM 87105-3179
(505) 242-6919
(505) 242-6929
Mailing address
1528 FIVE POINTS RD SW, ALBUQUERQUE, NM 87105-3179
(505) 242-6919
(505) 242-6929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0134121
NM
Other
Enumeration date
07/10/2012
Last updated
03/05/2014
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