Individual
DEBRA VETTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LPAT
Contact information
Practice address
127 BRYN MAWR DR SE STE A, ALBUQUERQUE, NM 87106-2265
(505) 265-2006
(505) 847-0681
Mailing address
PO BOX 622, MOUNTAINAIR, NM 87036-0622
(505) 265-2006
(505) 847-0681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC#1753
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81200722
—
NM
05
—
8772304
—
NM
05
—
A1965
—
NM
Enumeration date
01/08/2007
Last updated
07/09/2007
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