Individual
MALINDA LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
617 TRUMAN ST NE, ALBUQUERQUE, NM 87110-6443
(055) 999-1201
Mailing address
PO BOX 1331, RANCHOS DE TAOS, NM 87557-1331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0215091
NM
Other
Enumeration date
08/06/2020
Last updated
05/02/2022
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