| Dandelion Counseling | |
|
231 Sierra Dr Se Albuquerque NM 87108-5632 | |
| (505) 220-3463 | |
| Not Available |
| Full Name | Dandelion Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 231 Sierra Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Christine Alethea Wade-becher (SOLE OWNER) |
| Authorized Official Contact | 5052203643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dandelion Counseling Po Box 14837 Albuquerque NM 87191-4837 Ph: (505) 220-3643 | Dandelion Counseling 231 Sierra Dr Se Albuquerque NM 87108-5632 Ph: (505) 220-3463 |
| NPI Number | 1356899785 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Medicare PECOS PAC ID | 6901179993 |
|---|---|
| Medicare Enrollment ID | O20170914000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356899785 | NPI | - | NPPES |
| 1447583935 | Other | NM | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-07971 (New Mexico) | Primary |
| Provider Name | Christine A Wade-becher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447583935 PECOS PAC ID: 7416272075 Enrollment ID: I20150203000640 |
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