Individual
KARLA ISMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Mailing address
1830-B MEADOWVIEW DR., ALBUQUERQUE, NM 87104
(505) 363-3933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0143111
NM
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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