person
Samantha Gail Larson
Mental Health Counselor in Albuquerque, New Mexico
NPI 1861981730

Samantha Gail Larson is a Mental Health Counselor based in Albuquerque, NM and is specialized in Mental Health. Samantha Gail Larson practices in Albuquerque, NM. The NPI Number for Samantha Gail Larson is 1861981730 and holds a License No. (New Mexico).

The current practice location address for Samantha Gail Larson is 11719 Gallant Fox Rd Se, Albuquerque, NM and can be reached out via phone at 505-604-1099.

Location: 11719 Gallant Fox Rd Se, Albuquerque, NM, 87123-2591
person
Provider Profile Details
NPI Number
1861981730
Provider Name
Samantha Gail Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11719 Gallant Fox Rd Se, Albuquerque, NM, 87123-2591
Phone Number
505-604-1099
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11719 Gallant Fox Rd Se
City
State
Zip
87123-2591
Phone Number
505-604-1099
Fax Number
person
Provider Business Mailing Address Details
Address
11719 Gallant Fox Rd Se
City
State
Zip
87123-2591
Phone Number
505-604-1099
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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