Individual
MS. SHAWNA KAYE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
7123 BOXWOOD AVE NE, ALBUQUERQUE, NM 87113-2194
(505) 615-0012
Mailing address
7123 BOXWOOD AVE NE, ALBUQUERQUE, NM 87113-2194
(505) 615-0012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0161111
NM
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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