Provider Demographics
NPI:1659679975
Name:MORSE, MICHAEL P (LMFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:P
Last Name:MORSE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 COORS BLVD NW STE R
Mailing Address - Street 2:SUITE # 148
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1268
Mailing Address - Country:US
Mailing Address - Phone:505-710-4259
Mailing Address - Fax:
Practice Address - Street 1:3301 COORS BLVD NW STE R
Practice Address - Street 2:SUITE # 148
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1268
Practice Address - Country:US
Practice Address - Phone:505-710-4259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0248106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist