| Christian Counseling Professionals, Inc. | |
|
8205 Spain Rd Ne Ste 106 Albuquerque NM 87109-3155 | |
| (505) 856-0300 | |
| (505) 856-7946 |
| Full Name | Christian Counseling Professionals, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 8205 Spain Rd Ne Ste 106, Albuquerque, New Mexico |
| Authorized Official Name and Position | Gary Webb (DIRECTOR) |
| Authorized Official Contact | 5058560300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Counseling Professionals, Inc. 8205 Spain Rd Ne Ste 106 Albuquerque NM 87109-3155 Ph: (505) 856-0300 | Christian Counseling Professionals, Inc. 8205 Spain Rd Ne Ste 106 Albuquerque NM 87109-3155 Ph: (505) 856-0300 |
| NPI Number | 1598090763 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 10/06/2009 |
| Medicare PECOS PAC ID | 1052459864 |
|---|---|
| Medicare Enrollment ID | O20091117000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598090763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kathleen K Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376674010 PECOS PAC ID: 2163591967 Enrollment ID: I20160126000261 |
| Provider Name | Giovanna Eisberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316297484 PECOS PAC ID: 9335598820 Enrollment ID: I20231208002470 |
| Provider Name | Lee Roy Leonard Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114562493 PECOS PAC ID: 1759732092 Enrollment ID: I20240110004730 |
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