Individual
MR. ALIE NIZAM MUHSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(808) 428-0085
Mailing address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(808) 428-0085
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0199731
NM
106H00000X
Marriage & Family Therapist
MFT 341
HI
Other
Enumeration date
05/06/2013
Last updated
12/31/2019
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