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Individual

MRS. LEAH HOPE CARLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
6612 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 888-1686
(505) 888-1683
Mailing address
105 ENTRADA DE CIBOLA, TIJERAS, NM 87059-8048
(307) 399-6023

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-381
WY
101YP2500X
Professional Counselor
Primary
0158751
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98220063
NM
Enumeration date
12/20/2007
Last updated
01/26/2022
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