Individual
MRS. LUCILLE A VEGA TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW LPC
Contact information
Practice address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120-1173
(505) 836-1303
(505) 836-3810
Mailing address
1608 BLACKHAWK RIVER DR NE, RIO RANCHO, NM 87144-6416
(505) 771-2273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0085021
NM
104100000X
Social Worker
B3592
NM
Other
Enumeration date
05/04/2007
Last updated
06/08/2016
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