Individual
MADELAINE E VAN EPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2450 ALAMO AVE SE, ALBUQUERQUE, NM 87106-3204
(505) 925-2400
(505) 925-2411
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-2312
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
006970
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57126577
—
NM
Enumeration date
11/30/2005
Last updated
09/12/2012
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