| Ann Buck, Lpcc, Llc | |
|
2403 San Mateo Blvd Ne Suite W-10 Albuquerque NM 87110-4058 | |
| (505) 506-5831 | |
| (505) 883-3076 |
| Full Name | Ann Buck, Lpcc, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2403 San Mateo Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Elizabeth Ann Buck (SOLE PROPRIETOR) |
| Authorized Official Contact | 5055065831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Buck, Lpcc, Llc 2403 San Mateo Blvd Ne Suite W-10 Albuquerque NM 87110-4058 Ph: (505) 506-5831 | Ann Buck, Lpcc, Llc 2403 San Mateo Blvd Ne Suite W-10 Albuquerque NM 87110-4058 Ph: (505) 506-5831 |
| NPI Number | 1811167141 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811167141 | NPI | - | NPPES |
| 00676080 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0075491 (New Mexico) | Primary |
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