Individual
LAUREN MARY MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
707 BROADWAY BLVD NE STE 103, ALBUQUERQUE, NM 87102-2300
(505) 933-4639
Mailing address
8809 HENRIETTE WYETH DR NE, ALBUQUERQUE, NM 87122-2778
(505) 977-3446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0193611
NM
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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