Individual
MS. MARCY MATASICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1919 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-5146
(505) 286-1228
(505) 286-1228
Mailing address
PO BOX 1134, SANDIA PARK, NM 87047-1134
(505) 286-1228
(505) 286-1228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3410
NM
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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