Individual
CHRISTYN MARIE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5800 MENAUL BLVD NE STE B460, ALBUQUERQUE, NM 87110-3238
(505) 974-0104
Mailing address
8500 MENAUL BLVD NE STE B460, ALBUQUERQUE, NM 87112-2250
(505) 321-8205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2023-0167
NM
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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