Provider Demographics
NPI:1588862866
Name:LUJAN, ALFREDO HECTOR (LPCC)
Entity type:Individual
Prefix:MR
First Name:ALFREDO
Middle Name:HECTOR
Last Name:LUJAN
Suffix:
Gender:M
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:PO BOX 28220
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87592-8220
Mailing Address - Country:US
Mailing Address - Phone:505-471-5006
Mailing Address - Fax:877-513-3441
Practice Address - Street 1:541 QUANTUM RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-4502
Practice Address - Country:US
Practice Address - Phone:505-471-5006
Practice Address - Fax:877-513-3441
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0104711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health