Individual
SALLY CARLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3901 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87110-1577
(505) 888-1686
(505) 888-1683
Mailing address
9217 GALAXIA WAY NE, ALBUQUERQUE, NM 87111
(505) 681-3819
(505) 888-1686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0154131
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65704266
—
NM
Enumeration date
06/08/2009
Last updated
07/26/2017
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