Individual
ELISABETH ANA MARIA SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-4743
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0525
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
NM
Enumeration date
06/17/2021
Last updated
10/18/2023
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