Individual
JULIA IRENE EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
750 MORRIS RD SE, LOS LUNAS, NM 87031-5242
(505) 866-2318
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
(505) 288-3636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-08187
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44842
—
NM
Enumeration date
12/18/2012
Last updated
01/20/2015
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