Individual
ANGELINA CORDEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 GOLD AVE SW STE 102, ALBUQUERQUE, NM 87102-3119
(505) 318-5750
Mailing address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(505) 242-1010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0835
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/02/2021
Last updated
12/18/2024
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