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Individual

MRS. GRACIELA ZAMUDIO HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NBCC, LMHC

Contact information

Practice address
2551 COORS BLVD NW, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Mailing address
2551 COORS BLVD NW, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87120-1213
(505) 338-3320

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0133251
NM
101YP2500X
Professional Counselor
Primary
0168601
NM

Other

Enumeration date
06/02/2011
Last updated
11/04/2014
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