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Individual

MICAH M MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPCC

Contact information

Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0200421
NM

Other

Enumeration date
09/01/2009
Last updated
12/14/2022
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