Individual
MARLA J SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2600 MARBLE NE BLDG 2, ALBUQUERQUE, NM 87131-0001
(505) 321-0126
Mailing address
2016 HACKAMORE PL SW, ALBUQUERQUE, NM 87121
(505) 319-3906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4183
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A9526
—
NM
Enumeration date
11/09/2005
Last updated
07/09/2007
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