person
Lisa Clugston, LPCC
Professional Counselor in Corrales, New Mexico
NPI 1073706768

Lisa Clugston is a Professional Counselor based in Corrales, NM and is specialized in Professional. Lisa Clugston practices in Corrales, NM and has the professional credentials of LPCC. The NPI Number for Lisa Clugston is 1073706768 and holds a License No. 0142491 (New Mexico).

The current practice location address for Lisa Clugston is 4686 Corrales Rd Ste 4E, Corrales, NM and can be reached out via phone at 505-238-6420.

Location: 4686 Corrales Rd Ste 4E, Corrales, NM, 87048-6500
person
Provider Profile Details
NPI Number
1073706768
Provider Name
Lisa Clugston
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
4686 Corrales Rd Ste 4E, Corrales, NM, 87048-6500
Phone Number
505-238-6420
Fax Number
Provider Enumeration Date
08/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92189873 05 NM
institution
Provider Business Practice Location Address Details
Address
4686 Corrales Rd Ste 4E
City
State
Zip
87048-8658
Phone Number
505-238-6420
Fax Number
person
Provider Business Mailing Address Details
Address
4686 Corrales Rd Ste 4E
City
State
Zip
87048-8658
Phone Number
505-238-6420
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0142491 (New Mexico)
Definition
Definition to come...
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