Individual
MRS. MARY JOHANA BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PSYD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(361) 563-9307
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
70930
TX
103T00000X
Psychologist
Primary
PSY-2023-0056
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/14/2021
Last updated
02/12/2025
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