GAVRIELLA GRACE MONTOYA Y TIERNEY

ALBUQUERQUE, NM
NPI1871264267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM  CSA0220211)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
GAVRIELLA GRACE MONTOYA Y TIERNEY LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
Mailing Address
GAVRIELLA GRACE MONTOYA Y TIERNEY LSAA
4106 5TH ST NW
ALBUQUERQUE, NM 87107-3509
Phone number: 505-485-2366
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