Individual
MS. MARY L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5036 JUSTIN DR NW, ALBUQUERQUE, NM 87114-4313
(505) 898-1006
Mailing address
5036 JUSTIN DR NW, ALBUQUERQUE, NM 87114-4313
(505) 898-1006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0075961
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85965705
—
NM
Enumeration date
10/17/2006
Last updated
07/09/2007
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