Cindy Pendrey, Lpcc | |
2103 Golf Course Rd Se Suite A Rio Rancho NM 87124 | |
(505) 803-4677 | |
Not Available |
Full Name | Cindy Pendrey, Lpcc |
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Speciality | Clinic/Center |
Location | 2103 Golf Course Rd Se, Rio Rancho, New Mexico |
Authorized Official Name and Position | Cindy Pendrey (LICENSED PRO. CLINICAL COUNSELOR) |
Authorized Official Contact | 5058034677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cindy Pendrey, Lpcc Po Box 45681 Rio Rancho NM 87174-5681 Ph: (505) 803-4677 | Cindy Pendrey, Lpcc 2103 Golf Course Rd Se Suite A Rio Rancho NM 87124 Ph: (505) 803-4677 |
NPI Number | 1063997823 |
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Provider Enumeration Date | 09/27/2018 |
Last Update Date | 11/07/2022 |
Certification Date | 11/07/2022 |
Medicare PECOS PAC ID | 3971941162 |
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Medicare Enrollment ID | O20240408001023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063997823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Cindy Pendrey |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457597858 PECOS PAC ID: 4880032077 Enrollment ID: I20240408001091 |
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