Individual
JUDY LAJUENESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
Mailing address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0307
NM
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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