Individual
MS. CAROLYN S VAN HOUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2134
(505) 291-2931
Mailing address
25 VISTA DE ORO, PLACITAS, NM 87043-9227
(505) 867-3606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0093041
NM
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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