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Individual

MS. JUDY E TALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.,LPCC

Contact information

Practice address
1001 GOLD AVE SW, ALBUQUERQUE, NM 87102-2932
(505) 842-0776
(505) 248-1582
Mailing address
1001 GOLD AVE SW, ALBUQUERQUE, NM 87102-2932
(505) 842-0776
(505) 248-1582

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1454
NM

Other

Enumeration date
07/28/2006
Last updated
07/08/2007
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