Provider Information for 1154792919
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JAMES M NOLAN LPCC
Sex: Male
NPI: 1154792919
Last Updated: 2015-10-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1154792919 | ||||||||
| Enumeration Date | 2015-10-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4719 CONTENTA RDG SANTA FE, NM 87507-6603 United States Phone: 505-699-7616 | Fax: | ||||||||
| Primary Practice Address | 4719 CONTENTA RDG SANTA FE, NM 87507-6603 United States Phone: 505-699-7616 | Fax: | ||||||||
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