Doctor Name: | MAGDALENA KARLICK |
NPI Number: | 1326276288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC, LPAT, ATR-BC |
License Number: | 0144091 |
Business Practice Address: | 5686 Agua Fria St Santa Fe, NM - 875079001 |
Business Phone Number: | 5059860586 |
Business Fax Number: | |
Mailing Address: | P.o. Box 28279, SANTA FE |
State: | NM |
Postal Code: | 87592 |
Phone Number: | 5059860586 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0144091 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |