Individual
MS. MARGO MARY CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
112 CALLE PAISANO, SANTA FE, NM 87505-5718
(505) 992-1973
(505) 983-2439
Mailing address
112 CALLE PAISANO, SANTA FE, NM 87505-5718
(505) 992-1973
(505) 983-2439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0080551
NM
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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