Individual
NATALIE RAE CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ATR-BC
Contact information
Practice address
7479 NDCBU, TAOS, NM 87571-6177
(505) 751-3565
(505) 751-7231
Mailing address
7479 NDCBU, 112-B ALEXANDER STREET, TAOS, NM 87571-6177
(505) 751-3565
(505) 751-7231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4519
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0211
—
NM
01
—
NM100657
VALUE OPTIONSD PROVIDER #
NM
Enumeration date
11/14/2006
Last updated
07/09/2007
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