Individual
JOLENE A VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
112 MONROE ST NE, ALBUQUERQUE, NM 87108-1247
(505) 260-9917
Mailing address
112 MONROE ST NE, ALBUQUERQUE, NM 87108-1247
(505) 260-9917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0207571
NM
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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