Individual
MARY DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
(505) 265-7045
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
(505) 265-7045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0225
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00046912
—
NM
Enumeration date
07/11/2022
Last updated
07/11/2022
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