Organization
PATRICIA MARTINEZ BURR, MA, LPCC, NCC
Active
Parent organization
PATRICIA MARTINEZ BURR, MA, LPCC, NCC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATRICIA MARTINEZ BURR, MA, LPCC, NCC
Authorized official
PARICIA MARTINEZ BURR MA (LICENSED PROFESSIONAL CLINICAL COUN)
(505) 463-0472
Entity
Organization
Contact information
Practice address
6666 4TH ST NW, SUITE B, LOS RANCHOS, NM 87107-6144
(505) 463-0472
(505) 344-7581
Mailing address
6666 4TH ST NW, SUITE B, LOS RANCHOS, NM 87107-6144
(505) 463-0472
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2191
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36171883
—
NM
Enumeration date
01/17/2013
Last updated
01/17/2013
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