Individual
MADALINE MERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
403 W GREENE ST, CARLSBAD, NM 88220-5619
(575) 499-9435
Mailing address
PO BOX 1245, CARLSBAD, NM 88221-1245
(575) 499-9435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3223
NM
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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