Individual
LENORE GERALYN BAELI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.F.A., LMHC
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 342-5433
Mailing address
306 RICHMOND DR SE, ALBUQUERQUE, NM 87106-2240
(908) 566-7023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0098641
NM
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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