Individual
WANDA DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
309 CALLE AMARILLO SW, ALBUQUERQUE, NM 87121-9307
(505) 328-0301
Mailing address
309 CALLE AMARILLO SW, ALBUQUERQUE, NM 87121-9307
(505) 328-0301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0187461
NM
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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