Individual
MELANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
7013 4TH ST NW, LOS RANCHOS, NM 87107-6639
(505) 503-6838
Mailing address
534 EL PARAISO RD NW, LOS RANCHOS, NM 87107-5825
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T-0166171
NM
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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