CARL DALLAS BROACH

ALBUQUERQUE, NM
NPI1871788398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NM  96111)
Enumeration Date2007-09-07
Last Update Date2007-09-07
Business Address
Mr. CARL DALLAS BROACH LPCC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-468-1562
Mailing Address
Mr. CARL DALLAS BROACH LPCC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-468-1562
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