=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124146709
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SOLVEIG VALKONEN MAERKI LPCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1709 GIRARD BLVD NE
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-400-1657
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3900 SIMMS SE
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-265-1277
-----------------------------------------------------
Fax | 505-265-1277
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 1994
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------