Individual
MRS. MARY PAMELA COLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2218 SOUTHERN BLVD SE STE 14, RIO RANCHO, NM 87124-3750
(505) 994-0161
(505) 994-0162
Mailing address
PO BOX 664, PLACITAS, NM 87043-0664
(505) 550-7129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1489
NM
Other
Enumeration date
07/03/2017
Last updated
03/17/2018
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