Individual
ANDREA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 401-0717
Mailing address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 401-0717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0983
NM
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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