Individual
MRS. SUSAN GAYLE HAKEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC-T
Contact information
Practice address
9628 PROSPECT AVE NE, ALBUQUERQUE, NM 87112-2933
(512) 947-1469
Mailing address
9628 PROSPECT AVE NE, ALBUQUERQUE, NM 87112-2933
(512) 947-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0212111
NM
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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