Individual
MR. THOMAS N GOODLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADA
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6564
(505) 265-7074
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6564
(505) 265-7074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4048
NM
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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