Individual
MARY JEANETTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7027 MONTGOMERY BLVD NE STE F, ALBUQUERQUE, NM 87109-1529
(505) 880-0100
Mailing address
10287 LAS CASITAS CT NE, ALBUQUERQUE, NM 87111-1297
(505) 974-7150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0115181
NM
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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