Individual
MARIA DEL ROSARIO JOSEFINA GALLARDO NEYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
541 QUANTUM RD NE, RIO RANCHO, NM 87124-4502
(505) 994-9178
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0128851
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
HEALTH CARE PROVIDER TAXONOMY
NM
05
—
18576028
—
NM
Enumeration date
06/15/2010
Last updated
08/27/2015
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