Individual
MELINDA GAUMER CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LPAT, ATR-BC
Contact information
Practice address
707 BROADWAY BLVD NE STE 103, ALBUQUERQUE, NM 87102-2300
(505) 414-0275
Mailing address
115 PUEBLO LUNA DR NW, ALBUQUERQUE, NM 87107-6727
(505) 414-0275
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
183441
NM
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43729900
—
WI
Enumeration date
04/15/2008
Last updated
04/17/2018
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