Individual
BARBARA L CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Mailing address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0096261
—
101YP2500X
Professional Counselor
0096261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9311
—
NM
Enumeration date
08/27/2009
Last updated
09/24/2020
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