Individual
CARRIE L WILLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
HWY 169 MILE POST 29, MAGDALENA, NM 87825
(505) 854-2626
(505) 854-2528
Mailing address
PO BOX 907, MAGDALENA, NM 87825-0907
(505) 854-2628
(505) 864-2528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0064471
NM
101YP2500X
Professional Counselor
3047
NM
Other
Enumeration date
08/11/2005
Last updated
09/11/2025
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