Individual
ALFRED B. CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
313 SEDILLO HILL RD, TIJERAS, NM 87059-7389
(505) 265-1711
Mailing address
313 SEDILLO HILL RD, TIJERAS, NM 87059-7389
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0080291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080291
LMHC
NM
Enumeration date
07/29/2006
Last updated
07/08/2007
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