Individual
MR. JUSTIN DAVID LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
(505) 994-7999
(505) 243-0366
Mailing address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
(505) 994-7999
(505) 243-0366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0163261
NM
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN-71867
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
64187
NM
Other
Enumeration date
10/30/2015
Last updated
06/08/2023
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