Individual
MR. BRIAN PAUL ENCLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 TIJERAS N.W., ALBUQUERQUE, NM 87102
(505) 243-2223
Mailing address
803 TIJERAS N.W., ALBUQUERQUE, NM 87102
(505) 243-2223
(505) 243-3576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0151791
NM
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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