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Organization

LIFE STAGE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL P MORSE LMFT (OWNER)
(505) 710-4259
Entity
Organization

Contact information

Practice address
3301 COORS BLVD NW STE R, SUITE 148, ALBUQUERQUE, NM 87120-1268
(505) 710-4259
Mailing address
3301 COORS BLVD NW STE R, SUITE 148, ALBUQUERQUE, NM 87120-1268
(505) 710-4259

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0248
NM

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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