IndividualActive
Brenda Tanguma, LSAA
NPI 1366031411 · Addiction (Substance Use Disorder) Counselor · Albuquerque, NM
Provider details
- NPI number
- 1366031411
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSAA
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSA0214911 (NM)
Practice location
630 Haines Ave Nw
Albuquerque, NM 87102-1226
Phone: (505) 268-5611
Fax: (505) 268-5736
Mailing address
630 Haines Ave Nw
Albuquerque, NM 87102-1226
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.