Individual
MISS EMMA JOAN BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301
(505) 863-3828
(505) 863-6612
Mailing address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
(505) 863-6612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0199961
NM
106H00000X
Marriage & Family Therapist
Primary
CMF0208071
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48123404
—
NM
Enumeration date
09/18/2012
Last updated
01/20/2020
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