Individual
CHRISTINA RENEE LAVAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 LANG AVE NE, UNIT 110, ALBUQUERQUE, NM 87109-4475
(505) 705-1701
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 226-1960
(505) 672-7769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0131051
NM
101YM0800X
Mental Health Counselor
T-0122831
NM
106H00000X
Marriage & Family Therapist
Primary
CMF0140161
NM
Other
Enumeration date
01/06/2009
Last updated
04/08/2021
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