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Individual

LISA MARIE SIEBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
8100 MOUNTAIN RD NE, 200 B, ALBUQUERQUE, NM 87110-7818
(505) 380-6500
Mailing address
637 CHARLESTON ST NE, ALBUQUERQUE, NM 87108-2109
(505) 321-7579

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0149561
NM

Other

Enumeration date
11/02/2012
Last updated
11/02/2012
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