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Individual

MANDI ABERNATHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
215 COWBOY WAY STE 106, EDGEWOOD, NM 87015-9616
(505) 508-7071
Mailing address
215 COWBOY WAY STE 106, EDGEWOOD, NM 87015-9616
(505) 508-7071

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2023-0606
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13866614
CAQH
NM
05
17333261
NM
Enumeration date
02/04/2014
Last updated
10/31/2025
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