Individual
MR. JARAD EUGENE DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 404-0717
Mailing address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 404-0717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0208451
NM
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMH-0208451
NEW MEXICO STATE LICENSE
NM
Enumeration date
12/17/2019
Last updated
12/17/2019
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