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Individual

SUSAN MORRONGIELLO-KOENICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
500 MAIN ST, TRUTH OR CONSEQUENCES, NM 87901-2769
(575) 740-2520
(575) 894-0508
Mailing address
500 MAIN ST, TRUTH OR CONSEQUENCES, NM 87901-2769
(575) 740-2520
(575) 894-0508

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0148031
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98557068
NM
Enumeration date
09/10/2009
Last updated
12/27/2013
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