Provider Demographics
NPI:1427722842
Name:MORRISON, MARY C (NLMHC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:MORRISON
Suffix:
Gender:F
Credentials:NLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ADAMS ST SE APT 207
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-2871
Mailing Address - Country:US
Mailing Address - Phone:512-300-5297
Mailing Address - Fax:
Practice Address - Street 1:201 ADAMS ST SE APT 207
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2871
Practice Address - Country:US
Practice Address - Phone:512-300-5297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-CTL0218611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health