Individual
SHIRLEY PAMELA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 MAYHILL CT NW, ALBUQUERQUE, NM 87120-1649
(505) 804-0691
Mailing address
6801 MAYHILL CT NW, ALBUQUERQUE, NM 87120-1649
(505) 804-0691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
X-07972
NM
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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