Individual
MARISSA KOUPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1204 CENTRAL AVE SW, ALBUQUERQUE, NM 87102-2803
(505) 585-1551
Mailing address
415 MULBERRY ST NE, ALBUQUERQUE, NM 87106-4723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11833
NM
Other
Enumeration date
01/30/2019
Last updated
04/29/2026
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