Individual
SUSAN D PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 BURTON AVE SE, ALBUQUERQUE, NM 87106-3002
(505) 930-1573
Mailing address
2710 BURTON AVE SE, ALBUQUERQUE, NM 87106-3002
(505) 236-8366
(505) 865-4739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0131321
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/06/2008
Last updated
05/12/2011
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