Individual
MRS. COURTNEY DARLENE CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2403 SAN MATEO BLVD NE, SUITE S-14, ALBUQUERQUE, NM 87110-4058
(505) 830-1871
(505) 830-0040
Mailing address
12820 JOELLE RD NE, ALBUQUERQUE, NM 87112-2558
(505) 301-3036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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