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Individual

MS. LISA ANN ANN DEL MONICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2601 WYOMING BLVD NE SUITE 208, ALBUQUERQUE, NM 87112
(505) 982-2129
(505) 992-1149
Mailing address
2601 WYOMING BLVD NE SUITE 208, ALBUQUERQUE, NM 87112
(505) 982-2129
(505) 992-1149

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
TCTL0200981
NM
101YP2500X
Professional Counselor
Primary
CCMH0223961
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01177591
NM
Enumeration date
03/19/2019
Last updated
09/21/2022
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