Individual provider · Type 1 NPI

Theresa Susan Kliesen-Maravetz, LPCC

Mental Health Counselor · Albuquerque, NM

NPI number 1295859080 Active

Practice location

813 Georgia St SE
Albuquerque, NM 87108-4945

Call (505) 489-1452 Map

Fax (505) 232-6682

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0101591 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1295859080

Theresa Susan Kliesen-Maravetz, LPCC's National Provider Identifier is 1295859080, issued on Mar 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.