ALFRED B. CARMACK

TIJERAS, NM
NPI1891709234
Other NameFRED CARMACK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0080291)
Enumeration Date2006-07-29
Last Update Date2007-07-08
Business Address
-- ALFRED B. CARMACK LMHC
313 SEDILLO HILL RD
TIJERAS, NM 87059-7389
Phone number: 505-265-1711
Mailing Address
-- ALFRED B. CARMACK LMHC
313 SEDILLO HILL RD
TIJERAS, NM 87059-7389
Phone number: 505-265-1711