person
Trace Julius Dudley
Mental Health Counselor in Rio Rancho, New Mexico
NPI 1205528155

Trace Julius Dudley is a Mental Health Counselor based in Hillsborough, NM and is specialized in Mental Health. Trace Julius Dudley practices in Rio Rancho, NM. The NPI Number for Trace Julius Dudley is 1205528155 and holds a License No. CTB-2023-0403 (New Mexico).

The current practice location address for Trace Julius Dudley is 4733 Jessica Dr Ne, Rio Rancho, NM and can be reached out via phone at 505-537-9725.

Location: 4733 Jessica Dr Ne, Rio Rancho, NM, 27278-9888
person
Provider Profile Details
NPI Number
1205528155
Provider Name
Trace Julius Dudley
Credential
Provider Entity Type
Individual
Gender
Male
Address
4733 Jessica Dr Ne, Rio Rancho, NM, 27278-9888
Phone Number
505-537-9725
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4733 Jessica Dr Ne
City
State
Zip
87144-0853
Phone Number
505-537-9725
Fax Number
person
Provider Business Mailing Address Details
Address
4733 Jessica Dr Ne
City
State
Zip
87144-0853
Phone Number
505-537-9725
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CTB-2023-0403 (New Mexico)
Definition
Definition to come...
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