Individual
MS. MARY CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
1135 W MEADOWLARK LN, CORRALES, NM 87048-9689
(505) 573-0392
Mailing address
1135 W MEADOWLARK LN, CORRALES, NM 87048-9689
(505) 573-0392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2291
NM
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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