person
Ms. Lisa Mardel Smith
Mental Health Counselor in Albuquerque, New Mexico
NPI 1366749004

Lisa Mardel Smith is a Mental Health Counselor based in Albuquerque, NM and is specialized in Mental Health. Lisa Mardel Smith practices in Albuquerque, NM. The NPI Number for Lisa Mardel Smith is 1366749004 and holds a License No. 17178 (New Mexico).

The current practice location address for Lisa Mardel Smith is 1122 Central Ave Sw, Albuquerque, NM and can be reached out via phone at 505-639-5916.

Location: 1122 Central Ave Sw, Albuquerque, NM, 87107-3950
person
Provider Profile Details
NPI Number
1366749004
Provider Name
Lisa Mardel Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1122 Central Ave Sw, Albuquerque, NM, 87107-3950
Phone Number
505-639-5916
Fax Number
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1122 Central Ave Sw
City
State
Zip
87102-2947
Phone Number
505-639-5916
Fax Number
person
Provider Business Mailing Address Details
Address
1122 Central Ave Sw
City
State
Zip
87102-2947
Phone Number
505-639-5916
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CTB-2023-0939 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
17178 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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