Individual
ROCHELLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
1316- A GRANITE AVE. NW, ALBUQUERQUE, NM 87104
(505) 506-3886
Mailing address
1316- A GRANITE AVE. NW, ALBUQUERQUE, NM 87104
(505) 506-3886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0143781
NM
101YM0800X
Mental Health Counselor
Primary
0143771
NM
101YM0800X
Mental Health Counselor
068-75737
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56325851
—
NM
Enumeration date
12/03/2007
Last updated
04/01/2014
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