Individual
MS. ANNALISA GOLOWACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
428 LOS LENTES, SE, LOS LUNAS, NM 87031
(505) 807-1534
Mailing address
PO BOX 3301, LOS LUNAS, NM 87031-3301
(505) 807-1534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0122501
NM
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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