Individual
DR. KAREN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LMFT, RN-BC
Contact information
Practice address
9500 OSUNA RD NE APT 1018, ALBUQUERQUE, NM 87111-2291
(909) 583-1545
Mailing address
9500 OSUNA RD NE APT 1018, ALBUQUERQUE, NM 87111-2291
(909) 583-1545
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
97283
CA
106H00000X
Marriage & Family Therapist
Primary
CTB-2022-0016
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558890822
CAQH
CA
Enumeration date
06/08/2017
Last updated
07/22/2022
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