Individual
SETH TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 GOLD AVE SW STE 1200, ALBUQUERQUE, NM 87102-3276
(505) 224-9124
Mailing address
400 GOLD AVE SW STE 1200, ALBUQUERQUE, NM 87102-3276
(505) 224-9124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2023-0398
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0398
NM
Other
Enumeration date
05/15/2023
Last updated
12/05/2024
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