Individual
ELIZABETH EGELHOFFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
640 ALCAZAR ST SE, ALBUQUERQUE, NM 87108-1175
(505) 322-4599
Mailing address
100 LATIGO TRL SE, RIO RANCHO, NM 87124-5933
(520) 982-2526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0214181
NM
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/07/2019
Last updated
02/03/2021
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