Individual
NHU N MACKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
707 BROADWAY BLVD NE, SUITE 401, ALBUQUERQUE, NM 87102-2360
(505) 342-5489
Mailing address
11452 BELLAMAH AVE NE, ALBUQUERQUE, NM 87112
(505) 615-9189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0181801
NM
171W00000X
Contractor
0181801
NM
Other
Enumeration date
10/20/2016
Last updated
12/22/2016
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