Individual
MARIANNE ALICE ELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1505 15TH ST STE C, LOS ALAMOS, NM 87544-3000
(505) 662-4160
(505) 412-1301
Mailing address
118 KEARNY AVE, SANTA FE, NM 87501-1915
(386) 212-7303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0204321
NM
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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