| Doctor Name: | PATRICIA ALEJANDRA VELAZQUEZ |
| NPI Number: | 1023348380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 0121651 |
| Business Practice Address: | 1925 Aspen Drive Suite 302 A Santa Fe, NM - 875055588 |
| Business Phone Number: | 5056601558 |
| Business Fax Number: | |
| Mailing Address: | 560 E Coronado Rd, SANTA FE |
| State: | NM |
| Postal Code: | 875050347 |
| Phone Number: | 5054702630 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2010 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0121651 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |