Healthcare Provider Details

I. General information

NPI: 1750537171
Provider Name (Legal Business Name): KAREN MARIE MCDONALD LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7920 MOUNTAIN RD NE STE 1D
ALBUQUERQUE NM
87110-7800
US

IV. Provider business mailing address

1300 MORNINGSIDE DR NE
ALBUQUERQUE NM
87110-5644
US

V. Phone/Fax

Practice location:
  • Phone: 505-235-3579
  • Fax:
Mailing address:
  • Phone: 505-235-3579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0133581
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: