Individual
FABIOLA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
600 1ST ST NW, 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
Mailing address
600 1ST ST NW, 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0175691
NM
Other
Enumeration date
10/01/2015
Last updated
10/28/2015
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