Individual
MRS. KATRINA MAUREEN LUJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
17661 US 84/285, SANTA FE, NM 87506-2779
(505) 455-0555
Mailing address
17661 US 84/285, SANTA FE, NM 87506-2779
(505) 455-0555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006005
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00JM37
BC/BS
NM
01
—
2190380
LOVELACE HEALTH PLAN
NM
05
—
89650328
—
NM
01
—
NM600191
VALUE OPTIONS
NM
Enumeration date
10/16/2006
Last updated
07/08/2007
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