Individual
LAUREL ANN HAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2811 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-1825
(505) 243-1158
(505) 243-2115
Mailing address
2811 INDIAN SCHOOL NE, ALBUQUERQUE, NM 87106-1825
(505) 243-1158
(505) 243-2115
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54109361
—
NM
Enumeration date
11/21/2006
Last updated
07/08/2007
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