Individual
MRS. THERESA SUSAN KLIESEN-MARAVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
813 GEORGIA ST SE, ALBUQUERQUE, NM 87108-4945
(505) 489-1452
(505) 232-6682
Mailing address
813 GEORGIA ST SE, ALBUQUERQUE, NM 87108-4945
(505) 489-1452
(505) 232-6682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0101591
NM
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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