MEDICARE: MARLEY P COTE M.A., LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CCMH0185641	NM
2	101Y00000X	Counselor	CCMH0185641	NM

General Provider Information

NPI Number	:	1215360995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEY P COTE M.A., LPCC

Provider Business Mailing Address
First Line	:	PO BOX 6274
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87197-6274
Country	:	US
Telephone Number	:	505-980-8883
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 LOUISIANA BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3532
Country	:	US
Telephone Number	:	505-750-9163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2013
Last Update Date	:	06/15/2026

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