Individual
MR. EDWARD PAUL MCGOVERN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
126 MESA ST SE, ALBUQUERQUE, NM 87106-4080
(505) 577-5917
Mailing address
126 MESA ST SE, ALBUQUERQUE, NM 87106-4080
(505) 577-5917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0164291
NM
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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