Individual
PATTI H MACOMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
202 CENTRAL AVE SE, SUITE 300, ALBUQUERQUE, NM 87102-3460
(505) 268-1125
Mailing address
202 CENTRAL AVE SE, SUITE 300, ALBUQUERQUE, NM 87102-3460
(505) 268-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-05166
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M1919
—
NM
Enumeration date
02/04/2010
Last updated
12/22/2011
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