Individual
MRS. JULITA GLORIA PEZZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
8625 GOLF COURSE RD NW STE B2, ALBUQUERQUE, NM 87114-5114
(505) 508-0808
(888) 896-8728
Mailing address
8625 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5114
(505) 450-5500
(889) 896-8728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CCMH100131
NM
101YP2500X
Professional Counselor
Primary
CCMH0100131
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000413612
OPTUMBEHAVIORALHEALTH
NM
01
—
00NM00JBG7
BCBSNETWORK
NM
05
—
05959519
—
NM
01
—
11790874
CAQH
NM
01
—
3037108
UHCADVANTAGEPLANS
NM
01
—
600670199
MAGELLANHEALTHCARE
NM
Enumeration date
05/09/2007
Last updated
12/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us