Organization
LA VIDA NUEVA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA VIGIL (CLINICAL DIRECTOR)
(505) 429-5007
Entity
Organization
Contact information
Practice address
10900 MENAUL BLVD NE, SUITE C, ALBUQUERQUE, NM 87112-2455
(505) 429-5007
Mailing address
10900 MENAUL BLVD NE, SUITE C, ALBUQUERQUE, NM 87112-2455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003250572
NPI
NM
01
—
1548603392
NPI
NM
Enumeration date
03/16/2016
Last updated
03/16/2016
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