Individual
VICKI LANNERHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD (ABD) LPCC
Contact information
Practice address
803 TIJERAS AVE NW STE A, ALBUQUERQUE, NM 87102-3035
(505) 243-2223
Mailing address
PO BOX 404, GRAND HAVEN, MI 49417-0404
(505) 225-1317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017810
MI
101YP2500X
Professional Counselor
CCMH0196831
NM
Other
Enumeration date
10/16/2011
Last updated
12/18/2025
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