Individual
MS. CARLY RENEE SEDGWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED.S., LPCC
Contact information
Practice address
937 BOBCAT BLVD NE, ALBUQUERQUE, NM 87122-1335
(505) 850-3696
Mailing address
937 BOBCAT BLVD NE, ALBUQUERQUE, NM 87122-1335
(505) 850-3696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0014090
CO
101YM0800X
Mental Health Counselor
Primary
0156261
NM
101YM0800X
Mental Health Counselor
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Other
Enumeration date
06/29/2009
Last updated
04/01/2022
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