Individual
IVETTE MIRAMONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 720-3683
Mailing address
8100 GLENBROOK PL NW, ALBUQUERQUE, NM 87120-8017
(505) 720-3683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CMH0213301
NM
101YP2500X
Professional Counselor
Primary
CTB-2023-0344
NM
Other
Enumeration date
10/12/2021
Last updated
05/09/2023
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