Individual
MISS MILA MANSARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8200 MOUNTAIN RD NE, SUITE 106, ALBUQUERQUE, NM 87110-7843
(505) 830-6500
(505) 830-6527
Mailing address
PO BOX 13387, ALBUQUERQUE BEHAVIORAL HEALTH LLC, ALBUQUERQUE, NM 87192
(505) 830-6500
(505) 830-6527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0185011
NM
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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