Healthcare Provider Details

I. General information

NPI: 1780267260
Provider Name (Legal Business Name): L COUNSELING & CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 JANE PL NE APT 133
ALBUQUERQUE NM
87111-5183
US

IV. Provider business mailing address

PO BOX 11063
ALBUQUERQUE NM
87192-0063
US

V. Phone/Fax

Practice location:
  • Phone: 505-404-6464
  • Fax: 505-404-0280
Mailing address:
  • Phone: 505-404-6464
  • Fax: 505-404-0280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIC JAMES LUJAN
Title or Position: OWNER
Credential: LPCC
Phone: 505-404-6464