Individual
SUMMER CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC CTB-2023-0302
Contact information
Practice address
9016 WASHINGTON ST NE STE A, ALBUQUERQUE, NM 87113-2728
(505) 226-5330
Mailing address
3916 AUGUSTA DR SE, RIO RANCHO, NM 87124-8246
(505) 218-6706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0302
NM
Other
Enumeration date
11/01/2022
Last updated
11/08/2023
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