Individual provider · Type 1 NPI

Carly Brack Marketto

Marriage & Family Therapist · Las Cruces, NM

NPI number 1104289966 Active

Practice location

390 Calle De Alegra Ste C
Las Cruces, NM 88005-3280

Mailing address

3100 Oak St
Las Cruces, NM 88005-3769

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XCTB20220194 (NM)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104289966

Carly Brack Marketto's National Provider Identifier is 1104289966, issued on Mar 30, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Las Cruces, NM. The record was last updated on Jun 24, 2026.