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Organization

FORTITUDE THERAPEUTIC SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE LUCERO LPCC (OWNER)
(505) 573-2619
Entity
Organization

Contact information

Practice address
316 OSUNA RD NE STE 209, ALBUQUERQUE, NM 87107-5950
(505) 573-2619
Mailing address
4300 CANDLESTICK DR NE, ALBUQUERQUE, NM 87109-2901
(505) 573-2619

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N0045797
NM
Enumeration date
12/31/2025
Last updated
01/26/2026
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