Individual
MS. PATRICIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
10800 CHACO TERRACE ST NW, ALBUQUERQUE, NM 87114-6113
(505) 480-1201
Mailing address
10800 CHACO TERRACE ST NW, ALBUQUERQUE, NM 87114-6113
(505) 480-1201
(505) 899-9729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0127341
—
101YP2500X
Professional Counselor
0127341
NM
Other
Enumeration date
03/14/2007
Last updated
01/08/2021
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