Individual
MARIA LAQUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
715 E IDAHO AVE STE 2B, LAS CRUCES, NM 88001-4701
(575) 556-9585
Mailing address
PO BOX 4430, ANTHONY, NM 88021-4430
(575) 882-5101
(575) 882-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
0116281
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30931444
—
NH
Enumeration date
05/19/2007
Last updated
08/14/2019
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