Individual
MRS. CONSTANCE MERRELL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LPAT, LADAC
Contact information
Practice address
11930 MENAUL BLVD NE, SUITE 101, ALBUQUERQUE, NM 87112-2478
(505) 332-9242
(505) 332-9140
Mailing address
11930 MENAUL BLVD NE, SUITE 101, ALBUQUERQUE, NM 87112-2478
(505) 332-9242
(505) 332-9140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0064411
NM
101YM0800X
Mental Health Counselor
Primary
006248
NM
101YM0800X
Mental Health Counselor
0065682
NM
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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