Individual
JANAI PASSION MIRACLE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1847 SHADOWCAST DR SW, ALBUQUERQUE, NM 87121-2098
(505) 489-9080
Mailing address
1847 SHADOWCAST DR SW, ALBUQUERQUE, NM 87121-2098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-CTL0215831
NM
101YM0800X
Mental Health Counselor
Primary
T-CTL0218931
NM
Other
Enumeration date
07/07/2021
Last updated
03/10/2022
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