Individual
MS. TERESA WATKINS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1330 SAN PEDRO DR NE, SUITE 201B, ALBUQUERQUE, NM 87110-6744
(505) 260-9912
Mailing address
19 RYAN RD, EDGEWOOD, NM 87015-9091
(505) 281-7419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0874
NM
101YP2500X
Professional Counselor
0874
NM
Other
Enumeration date
11/29/2006
Last updated
09/11/2025
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