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Shyanne Atocha Nourse, LSAA
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1376116954

Shyanne Atocha Nourse is an Addiction (Substance Use Disorder) Counselor based in Peralta, NM and is specialized in Addiction (Substance Use Disorder). Shyanne Atocha Nourse practices in Albuquerque, NM and has the professional credentials of LSAA. The NPI Number for Shyanne Atocha Nourse is 1376116954 and holds a License No. CSA0218821 (New Mexico).

The current practice location address for Shyanne Atocha Nourse is 630 Haines Ave Nw, Albuquerque, NM and can be reached out via phone at 505-917-3844.

Location: 630 Haines Ave Nw, Albuquerque, NM, 87042-8413
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Provider Profile Details
NPI Number
1376116954
Provider Name
Shyanne Atocha Nourse
Credential
LSAA
Provider Entity Type
Individual
Gender
Female
Address
630 Haines Ave Nw, Albuquerque, NM, 87042-8413
Phone Number
505-917-3844
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CSA0218821 01 NM LSAA
institution
Provider Business Practice Location Address Details
Address
630 Haines Ave Nw
City
State
Zip
87102-1226
Phone Number
505-917-3844
Fax Number
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Provider Business Mailing Address Details
Address
630 Haines Ave Nw
City
State
Zip
87102-1226
Phone Number
505-917-3844
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CSA0218821 (New Mexico)
Definition
Definition to come...
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