Individual
AMANDA MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-3425
(505) 242-6988
Mailing address
4808 DANUBE DR NE, ALBUQUERQUE, NM 87111-2721
(505) 242-6988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0316
NM
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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