IndividualActive
Mary Miesem, LPCC
NPI 1083723308 · Psychoanalysis Psychologist · Albuquerque, NM
Provider details
- NPI number
- 1083723308
- Entity type
- Individual
- Primary specialty
- Psychoanalysis PsychologistBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- 731 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Pmg Kaseman Behavioral Medicine
1325 Wyoming Ne
Albuquerque, NM 87112
Phone: (505) 291-5300
Fax: (505) 291-5303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26666
Albuquerque, NM 87125-6666
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2008-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.