Wanda Durant, MA, LPCC
Counselor, Mental Health in Albuquerque, NM. Individual provider (NPI-1).
NPI number1669042016
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1669042016
- Entity type
- Individual (NPI-1)
- Name
- Wanda Durant
- Credential
- MA, LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CCMH0187461 | NM | Yes |
Practice location
309 Calle Amarillo SwAlbuquerque, NM 87121-9307
Phone 505-328-0301
Mailing address
309 Calle Amarillo SwAlbuquerque, NM 87121-9307
Phone 505-328-0301
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