Provider Demographics
NPI:1558770412
Name:NUNEZ, YVONNE (LPCC)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:NUNEZ
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 1:4108 SUNLAND CIR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-2730
Mailing Address - Country:US
Mailing Address - Phone:505-304-4022
Mailing Address - Fax:505-836-7424
Practice Address - Street 1:105 E. PINON ST
Practice Address - Street 2:
Practice Address - City:MOUNTAINAIR
Practice Address - State:NM
Practice Address - Zip Code:87036
Practice Address - Country:US
Practice Address - Phone:505-847-2271
Practice Address - Fax:505-847-0513
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0158451101YM0800X
NMCCMH0198811101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health