Individual
ALISHA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Mailing address
1712 RUSTY RD NW, ALBUQUERQUE, NM 87114-4138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0108641
NM
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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