Mary Miesem, LPCC
NPI #1083723308 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1083723308
- Entity Type
- Individual
- Name
- Mary Miesem, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Psychoanalysis
- Credential
- LPCC
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Aug 14, 2008
Practice Location
- Address
- PMG KASEMAN BEHAVIORAL MEDICINE
- Address 2
- 1325 WYOMING NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87112
- Phone
- (505) 291-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Psychoanalysis — Psychoanalysis |
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