Individual
MARINA ALYSSA PANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
3301 CANDELARIA RD NE STE B, ALBUQUERQUE, NM 87107-1965
(505) 273-6300
Mailing address
3301 CANDELARIA RD NE STE B, ALBUQUERQUE, NM 87107-1965
(505) 273-6300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CAMF0216741
NM
106H00000X
Marriage & Family Therapist
T-CTL0210711
NM
Other
Enumeration date
08/29/2017
Last updated
07/13/2021
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