Individual
MS. LONNI ANN FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPAT, ATR-BC
Contact information
Practice address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
(505) 877-7060
(505) 877-7063
Mailing address
1101 LOPEZ RD SW, PB&J FAMILY SERVICES, INC., ALBUQUERQUE, NM 87105-3954
(505) 877-7060
(505) 877-7063
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
3274
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05752752
—
NM
Enumeration date
01/03/2007
Last updated
07/09/2007
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