Individual
OCALA ALWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 440-6652
Mailing address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 440-6652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMF-0168801
NM
101YM0800X
Mental Health Counselor
T-0141541
NM
Other
Enumeration date
08/26/2009
Last updated
10/10/2019
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