Organization
UNMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BRADY (SUPERVISOR LMFT)
(505) 272-2190
Entity
Organization
Contact information
Practice address
2600 MARBLE AVE NE, BUILDING 2, ALBUQUERQUE, NM 87106-2058
(505) 272-2190
(505) 272-3466
Mailing address
933 BRADBURY DR SE, SUITE 222244, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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