Organization
MICHELLE SANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SANDERSON LMHC (OWNER)
(505) 228-1670
Entity
Organization
Contact information
Practice address
7900 DRAGOON RD NW, ALBUQUERQUE, NM 87114-4475
(505) 228-1670
Mailing address
7900 DRAGOON RD NW, ALBUQUERQUE, NM 87114-4475
(505) 228-1670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
10/15/2021
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