Individual
MARY LUCILLE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1005 LUNA CIR NW, ALBUQUERQUE, NM 87102-1973
(505) 243-9707
(505) 242-2950
Mailing address
1813 FIGUEROA CT NE, ALBUQUERQUE, NM 87112-3506
(505) 271-0959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1858
NM
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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