Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 3057 | NM |
N | 101YP2500X | Professional Counselor | 11411 | TX |
N | 101YP2500X | Professional Counselor | D069022 | NM |
N | 101YS0200X | School Counselor | 282432 | NM |
NPI | 1144212168 |
---|---|
Provider Name | Ms. Nancy Elizabeth Madrid |
First Address | Albuquerque, NM 87112-3261 |
Second Address | Albuquerque, NM 87112-3261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
42179351 | (05) | NM |
541470 | VALUE OPTIONS (01) | NM |
89998 | PRESBYTERIAN (01) | NM |
NM10071 | VALUE OPTIONS (01) | NM |