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Individual

JOELLE C HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
44 TIERRA MONTE ST NE, ALBUQUERQUE, NM 87122-2100
(505) 933-6615
Mailing address
44 TIERRA MONTE ST NE, ALBUQUERQUE, NM 87122-2100
(505) 933-6615

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3383
NM
101YP2500X
Professional Counselor
Primary
3383
NM
103TP0814X
Psychoanalysis Psychologist
3383
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000F0362
NM
Enumeration date
08/30/2006
Last updated
10/24/2019
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