Individual
MRS. MEGAN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
1433 MONTIANO LOOP SE, RIO RANCHO, NM 87124-8769
(505) 750-3467
Mailing address
1433 MONTIANO LOOP SE, RIO RANCHO, NM 87124-8769
(505) 750-3467
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0167751
NM
Other
Enumeration date
04/05/2011
Last updated
01/26/2015
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