Individual
ANGELA SMITH-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
707 BROADWAY BLVD NE, STE 500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE, STE 500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T - 0153011
NM
101YP2500X
Professional Counselor
Primary
0176961
NM
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
04/01/2008
Last updated
05/03/2017
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