Individual
MS. TANYA JEAN MARTHALLER-DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Mailing address
5425 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3135
(307) 851-6226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0211521
NM
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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