Individual
CODI E AZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7027 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1589
(505) 880-0100
Mailing address
7027 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1589
(505) 880-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0199331
NM
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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