Individual
MRS. MANDY JO RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2554
(505) 291-2552
Mailing address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2554
(505) 291-2552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0152791
NM
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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