Individual
LIDIA ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 454-8265
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
T-0126541
NM
101YP2500X
Professional Counselor
Primary
0158221
NM
Other
Enumeration date
10/23/2009
Last updated
07/02/2014
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