Individual
MARCELLA L SKOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 SIPAPU ST, TAOS, NM 87571
(505) 690-0126
Mailing address
PO BOX 3209, TAOS, NM 87571-3209
(303) 345-8462
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0199561
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70503362
—
NM
Enumeration date
02/16/2017
Last updated
10/04/2018
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