Individual
MS. LISA M CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 670-6655
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 670-6655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0137771
NM
101YM0800X
Mental Health Counselor
Primary
0150181
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78558
—
NM
Enumeration date
11/20/2008
Last updated
11/28/2017
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