Individual
CAROL SUE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102-2367
(505) 268-0701
(505) 865-4739
Mailing address
PO BOX 518, LOS LUNAS, NM 87031-0518
(505) 865-3350
(505) 865-4739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0129361
NM
101YP2500X
Professional Counselor
Primary
CCMH0154181
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44842
—
NM
Enumeration date
03/31/2010
Last updated
07/01/2024
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