Individual
MS. SARA HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 767-1193
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 767-1193
(505) 766-6945
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0139811
NM
1041C0700X
Clinical Social Worker
Primary
I-08748
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72977761
—
NM
Enumeration date
10/14/2010
Last updated
09/16/2016
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