Individual
MRS. ELIZABETH SUSAN SPEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPP
Contact information
Practice address
8417 WASHINGTON PL NE STE B, ALBUQUERQUE, NM 87113-1720
(505) 507-4408
Mailing address
8417 WASHINGTON PL NE STE B, ALBUQUERQUE, NM 87113-1720
(505) 507-4408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0102551
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35473011
—
NM
05
—
58138251
—
NM
05
—
NM600744
—
NM
Enumeration date
03/21/2007
Last updated
11/07/2024
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