Individual
MISS AMY SAGE RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 266-7711
(505) 268-5046
Mailing address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 266-7711
(505) 268-5046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0122421
NM
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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