Individual
TERESA BOLENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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