Individual
LORISSA MARIE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-1037
(505) 721-0854
Mailing address
3420 PICKARD AVE NE, ALBUQUERQUE, NM 87110-2226
(505) 721-0847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0177341
NM
101YM0800X
Mental Health Counselor
0184481
NM
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
03/10/2017
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