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Individual

MR. MARK OBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-3193
Mailing address
6800 PRAIRIE RD NE, APT. 1303, ALBUQUERQUE, NM 87109-1973
(505) 363-4852

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0092231
NM

Other

Enumeration date
06/07/2007
Last updated
07/08/2007
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