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Individual
MRS. CONSTANCE MERRELL MCDONALD
Active
Individual
MRS. CONSTANCE MERRELL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LPAT, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0064411
NM
101YM0800X
Mental Health Counselor
Primary
006248
NM
101YM0800X
Mental Health Counselor
0065682
NM
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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