Lupe E Bryan Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Bernalillo, NM
- NPI
- 1316100175
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 67352 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-07-02
- Last updated
- 2008-07-02
Practice location
1043 Hwy 313
Bernalillo, NM 87004-6912
(505) 867-3351