Provider Demographics
NPI:1083907026
Name:LOLORDO, BARBARA J (LPCC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:LOLORDO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 ZUNI RIVER CIR SW
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-8663
Mailing Address - Country:US
Mailing Address - Phone:505-795-8407
Mailing Address - Fax:
Practice Address - Street 1:526 SUN RANCH VILLAGE LOOP SW
Practice Address - Street 2:SUITE A
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-4869
Practice Address - Country:US
Practice Address - Phone:505-565-9496
Practice Address - Fax:505-565-9497
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1638101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health