Individual
MICHELLE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5808 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2455
(505) 228-1670
Mailing address
7900 DRAGOON RD NW, ALBUQUERQUE, NM 87114-4475
(505) 228-1670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB20230886
NM
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-0177011
STATE COUNSELING BOARD
NM
Enumeration date
11/23/2015
Last updated
11/29/2023
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