Individual provider · Type 1 NPI

Amy Marie Vidra, LPCC, LPAT, ATR-BC

Professional Counselor · Albuquerque, NM

NPI number 1770648487 Active

Practice location

2450 Alamo Ave SE
Albuquerque, NM 87106-3204

Call (505) 925-2489 Map

Mailing address

933 Bradbury Dr SE, Suite 2222
Albuquerque, NM 87106-4374

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0099801 (NM)

Professional Counselor: Definition to come...

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About NPI 1770648487

Amy Marie Vidra, LPCC, LPAT, ATR-BC's National Provider Identifier is 1770648487, issued on Dec 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 5, 2012.