Individual
SREYA VEMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 IRVING BLVD NW, ALBUQUERQUE, NM 87114-4283
(866) 727-8274
Mailing address
25210 SE 42ND DR, SAMMAMISH, WA 98029-5788
(501) 503-3305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100375
TX
101YM0800X
Mental Health Counselor
CTB-2026-0186
NM
101YM0800X
Mental Health Counselor
MC61677637
WA
101YM0800X
Mental Health Counselor
R11038
OR
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
03/23/2026
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