Individual
SHANNON MARIE BENALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
300 CORNELL DR SE BLDG 73,, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
Mailing address
PO BOX 531, WATERFLOW, NM 87421-0531
(505) 493-7533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0975
NM
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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