Individual
MRS. CATHARYN DIANNE CRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, NCC
Contact information
Practice address
1907 CENTRAL AVE STE 214, LOS ALAMOS, NM 87544-4017
(505) 309-0505
Mailing address
7301 INDIAN SCHOOL RD NE STE A, ALBUQUERQUE, NM 87110-4504
(505) 266-0441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0204871
NM
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38406861
—
NM
Enumeration date
01/16/2019
Last updated
02/28/2020
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