Individual
MS. AMANDA ANN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
625 TRUMAN ST NE, ALBUQUERQUE, NM 87110-6443
(505) 262-6527
(505) 265-7045
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6527
(505) 265-7045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0682
NM
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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