Individual
JESSICA MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4253 MONTGOMERY BLVD NE, SUITE 230, ALBUQUERQUE, NM 87109-1106
(505) 550-7352
Mailing address
4253 MONTGOMERY BLVD NE, SUITE 230, ALBUQUERQUE, NM 87109-1106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0182891
NM
Other
Enumeration date
05/24/2014
Last updated
07/19/2016
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