| Aleta Alexander | |
|
7405 Carson Trl Nw Albuquerque NM 87120-4513 | |
| (505) 400-0834 | |
| (505) 280-9607 |
| Full Name | Aleta Alexander |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7405 Carson Trl Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Aleta Myer Alexnder (OWNER) |
| Authorized Official Contact | 5054000834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleta Alexander 1005 21st St Se Suite 19 Rio Rancho NM 87124-4030 Ph: (505) 400-0834 | Aleta Alexander 7405 Carson Trl Nw Albuquerque NM 87120-4513 Ph: (505) 400-0834 |
| NPI Number | 1285169912 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 05/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285169912 | NPI | - | NPPES |
| 79480241 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0130591 (New Mexico) | Primary |
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