Alegre Psychotherapy And Counseling, Llc | |
8 El Cerro Trl Santa Fe NM 87508-8090 | |
(505) 699-7422 | |
Not Available |
Full Name | Alegre Psychotherapy And Counseling, Llc |
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Speciality | Social Worker |
Location | 8 El Cerro Trl, Santa Fe, New Mexico |
Authorized Official Name and Position | Michael Allan Budnik (OWNER) |
Authorized Official Contact | 5056997422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alegre Psychotherapy And Counseling, Llc 8 El Cerro Trl Santa Fe NM 87508-8090 Ph: (505) 699-7422 | Alegre Psychotherapy And Counseling, Llc 8 El Cerro Trl Santa Fe NM 87508-8090 Ph: (505) 699-7422 |
NPI Number | 1417328303 |
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Provider Enumeration Date | 10/17/2015 |
Last Update Date | 10/17/2015 |
Medicare PECOS PAC ID | 3971883026 |
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Medicare Enrollment ID | O20161206001850 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417328303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-08219 (New Mexico) | Primary |
Provider Name | Michael A Budnik |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669712923 PECOS PAC ID: 4486934536 Enrollment ID: I20161206002158 |
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