Individual
ELLEN PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, NCC
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0203351
NM
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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