| Creative Counseling & Consulting Inc. | |
|
11000 Spain Rd Ne Bldg E Albuquerque NM 87111-1883 | |
| (505) 323-9004 | |
| (505) 323-9004 |
| Full Name | Creative Counseling & Consulting Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11000 Spain Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Elaine Soto (PRESIDENT) |
| Authorized Official Contact | 5053239004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling & Consulting Inc. Po Box 14926 Albuquerque NM 87191-4926 Ph: (505) 323-9004 | Creative Counseling & Consulting Inc. 11000 Spain Rd Ne Bldg E Albuquerque NM 87111-1883 Ph: (505) 323-9004 |
| NPI Number | 1841332863 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841332863 | NPI | - | NPPES |
| 08387559 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0893 (New Mexico) | Primary |
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