Individual
SUSAN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1233 DON FRANCISCO PL NW, ALBUQUERQUE, NM 87107-2653
(505) 263-7058
(505) 341-9205
Mailing address
1233 DON FRANCISCO PL NW, ALBUQUERQUE, NM 87107-2653
(505) 263-7058
(505) 341-9205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0241
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1621
—
NM
Enumeration date
08/23/2006
Last updated
07/09/2007
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