Healthcare Provider Details
I. General information
NPI: 1619918885
Provider Name (Legal Business Name): ANN L. MORROW LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2006
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2708 RIO ENCANTADO CT NW
ALBUQUERQUE NM
87107-2956
US
IV. Provider business mailing address
2708 RIO ENCANTADO CT NW
ALBUQUERQUE NM
87107-2956
US
V. Phone/Fax
- Phone: 505-261-8033
- Fax: 505-890-5652
- Phone: 505-261-8033
- Fax: 505-890-5652
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 2601 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: