Individual
MARY N. CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC, RPT
Contact information
Practice address
1400 BARBARA LOOP SE STE D, RIO RANCHO, NM 87124-1088
(505) 268-3064
(505) 268-9390
Mailing address
3508 ELDER MEADOWS DR NE, RIO RANCHO, NM 87144-0562
(505) 268-3064
(505) 268-9390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NM 4094
NM
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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