Counseling World, Llc | |
2601 Wyoming Blvd Ne Suite 101 Albuquerque NM 87112-1035 | |
(505) 404-0717 | |
(505) 999-1172 |
Full Name | Counseling World, Llc |
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Speciality | Counselor |
Location | 2601 Wyoming Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Roger A Aguiar (CEO) |
Authorized Official Contact | 5054803577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Counseling World, Llc 2601 Wyoming Blvd Ne Suite 101 Albuquerque NM 87112-1035 Ph: (505) 404-0717 | Counseling World, Llc 2601 Wyoming Blvd Ne Suite 101 Albuquerque NM 87112-1035 Ph: (505) 404-0717 |
NPI Number | 1285800185 |
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Provider Enumeration Date | 05/01/2008 |
Last Update Date | 05/01/2008 |
Medicare PECOS PAC ID | 1557401247 |
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Medicare Enrollment ID | O20091210000184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285800185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0091301 (New Mexico) | Primary |
1041C0700X | Social Worker - Clinical | I-3387 (New Mexico) | Secondary |
Provider Name | Kirsten Hockemeier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902815525 PECOS PAC ID: 3173528973 Enrollment ID: I20091210000237 |
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