Individual
MS. GERRY ANN JUCHNIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6501 WYOMING BLVD NE, ALBUQUERQUE, NM 87109
(505) 515-4124
Mailing address
5737 PEPPERTREE PLACE NE, ALBUQUERQUE, NM 87111
(505) 296-2406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
005540
NM
101YM0800X
Mental Health Counselor
Primary
005540
NM
101YP2500X
Professional Counselor
005540
NM
106H00000X
Marriage & Family Therapist
005540
NM
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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