Doctor Name: | LINDA MENZEL |
NPI Number: | 1104836121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 1727 |
Business Practice Address: | 872 S Camino Del Pueblo Bernalillo, NM - 870045927 |
Business Phone Number: | 5058672383 |
Business Fax Number: | 5058677293 |
Mailing Address: | 1735 Celina Ct Se, RIO RANCHO |
State: | NM |
Postal Code: | 871242921 |
Phone Number: | 5058672383 |
Fax Number: | 5058677293 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |