person
Mrs. Nettie Lynne Rose, LISWLADAC
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1407847403

Nettie Lynne Rose is an Addiction (Substance Use Disorder) Counselor based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Nettie Lynne Rose practices in Albuquerque, NM and has the professional credentials of LISWLADAC. The NPI Number for Nettie Lynne Rose is 1407847403 and holds a License No. 4198 (New Mexico).

The current practice location address for Nettie Lynne Rose is 1610 San Pedro Ne #A, Albuquerque, NM and can be reached out via phone at 505-265-0753 and via fax at 505-268-5722.

Location: 1610 San Pedro Ne #A, Albuquerque, NM, 87110
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Provider Profile Details
NPI Number
1407847403
Provider Name
Nettie Lynne Rose
Credential
LISWLADAC
Provider Entity Type
Individual
Gender
Female
Address
1610 San Pedro Ne #A, Albuquerque, NM, 87110
Phone Number
505-265-0753
Fax Number
505-268-5722
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37376764 05 NM
institution
Provider Business Practice Location Address Details
Address
1610 San Pedro Ne #A
City
State
Zip
87110
Phone Number
505-265-0753
Fax Number
505-268-5722
person
Provider Business Mailing Address Details
Address
1610 San Pedro Ne #A
City
State
Zip
87110
Phone Number
505-265-0753
Fax Number
505-268-5722
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
I4453 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4198 (New Mexico)
Definition
Definition to come...
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