Individual
LAURIE DEWHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2920 CARLISLE BLVD NE STE 123H, ALBUQUERQUE, NM 87110-2884
(505) 903-8480
(505) 878-9999
Mailing address
PO BOX 16272, ALBUQUERQUE, NM 87191-6272
(505) 903-8480
(505) 878-9999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0162181
NM
101YM0800X
Mental Health Counselor
0186371
NM
101YP2500X
Professional Counselor
Primary
0186371
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03129268
—
NM
Enumeration date
12/19/2013
Last updated
05/03/2018
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