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Individual

MEGHAN LOUISE THEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
1010 LAS LOMAS RD NE, ALBUQUERQUE, NM 87102-2634
(505) 246-8700
Mailing address
7809 OAKLAND AVE NE, ALBUQUERQUE, NM 87122-2734
(402) 690-3398

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0193071
NM

Other

Enumeration date
07/24/2018
Last updated
07/24/2018
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