Individual
CASSIE LEE CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4228
(505) 925-4358
Mailing address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4228
(505) 925-4358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/20/2006
Last updated
07/21/2022
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