Individual
MS. LAUREL IANNE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LMHC
Contact information
Practice address
2900 LOUISIANA BLVD NE, SOUTH BUILDING, SUITE #260, ALBUQUERQUE, NM 87110-3532
(505) 974-0104
Mailing address
PO BOX 51561, ALBUQUERQUE, NM 87181-1561
(505) 503-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0122271
NM
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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