Provider Demographics
NPI:1780745257
Name:KNAUBER, CHARLOTTE (LPCC)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:KNAUBER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 ACADEMY RD NE
Mailing Address - Street 2:BLDG. 1 SUITE 202
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3379
Mailing Address - Country:US
Mailing Address - Phone:505-262-9391
Mailing Address - Fax:505-265-7860
Practice Address - Street 1:7801 ACADEMY RD NE
Practice Address - Street 2:BLDG. 1 SUITE 202
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3379
Practice Address - Country:US
Practice Address - Phone:505-262-9391
Practice Address - Fax:505-265-7860
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional