Individual
MARY JO BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
(505) 237-0068
Mailing address
713 MARCELLA ST NE, ALBUQUERQUE, NM 87123-1238
(505) 203-0789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0173551
NM
101YM0800X
Mental Health Counselor
Primary
CMH0179271
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21656568
—
NM
Enumeration date
04/21/2015
Last updated
07/02/2020
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