Individual
MS. DANA WILSON VANWESTRIENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4686 CORRALES RD, CORRALES, NM 87048-8610
(505) 620-4089
Mailing address
311 WALDEN RD, CORRALES, NM 87048-8379
(505) 620-4089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
97381
NM
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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