Individual
MELISSA MAYBERRY DEWLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6612 GULTON CT NE STE A, ALBUQUERQUE, NM 87109
(505) 888-1686
(505) 888-1683
Mailing address
8644 MOCK HEATHER RD NW, ALBUQUERQUE, NM 87120-4250
(972) 989-0344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CCMH0198061
NM
Other
Enumeration date
10/13/2014
Last updated
08/17/2018
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