Organization
ANITA LA COUR COUNSELING & CONSULTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA TRELOAR LA COUR PH.D. (OWNER, AUTHORIZED OFFICIAL)
(505) 999-7200
Entity
Organization
Contact information
Practice address
1300 PARK AVE SW, ALBUQUERQUE, NM 87102-2842
(505) 999-7200
Mailing address
1300 PARK AVE SW, ALBUQUERQUE, NM 87102-2842
(505) 999-7200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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