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Individual

SUSAN LEE VOIGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA ATR BC LPAT LPCC

Contact information

Practice address
200 W 1ST, STE 532, ROSWELL, NM 88203
(505) 627-0439
(505) 622-2750
Mailing address
200 W 1ST, STE 532, ROSWELL, NM 88203
(505) 627-0439
(505) 622-2750

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0085801
NM
221700000X
Art Therapist
2756
NM
221700000X
Art Therapist
99003
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM202636
VALUE OPTIONS MEDICAID
NM
Enumeration date
10/05/2006
Last updated
02/17/2020
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