Individual
HEATHER M IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
8500 MENAUL BLVD NE STE B460, ALBUQUERQUE, NM 87112-2250
(505) 974-0104
Mailing address
6 AUTUMNWOOD CT, EDGEWOOD, NM 87015-7866
(505) 350-8192
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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