Individual
MARY DIAMOND JASEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3424 PITT ST NE, ALBUQUERQUE, NM 87111-4806
(505) 453-7019
Mailing address
3424 PITT ST NE, ALBUQUERQUE, NM 87111-4806
(505) 453-7019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0122261
NM
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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