Healthcare Provider Details

I. General information

NPI: 1336494962
Provider Name (Legal Business Name): MARGARET SUEHR LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 12/29/2024
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 UNSER BLVD SE STE C
ALBUQUERQUE NM
87124-6300
US

IV. Provider business mailing address

12 UNSER BLVD SE STE C
ALBUQUERQUE NM
87124-6300
US

V. Phone/Fax

Practice location:
  • Phone: 505-948-1811
  • Fax:
Mailing address:
  • Phone: 505-948-1811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0166301
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCCMH0166301
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: