Individual
MS. MARY L FREDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2700 FARMINGTON AVE BLDG F, FARMINGTON, NM 87401-4559
(505) 326-7878
(505) 326-7879
Mailing address
2700 FARMINGTON AVE BLDG F, FARMINGTON, NM 87401-4559
(505) 326-7878
(505) 326-7879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0135491
NM
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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