| Dragonfly Counseling Associates | |
|
1610 San Pedro Ne #a Albuquerque NM 87110 | |
| (505) 265-0753 | |
| (505) 268-5722 |
| Full Name | Dragonfly Counseling Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1610 San Pedro Ne #a, Albuquerque, New Mexico |
| Authorized Official Name and Position | Nettie Rose (OWNER) |
| Authorized Official Contact | 5052650753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Counseling Associates 1610 San Pedro Ne #a Albuquerque NM 87110 Ph: (505) 265-0753 | Dragonfly Counseling Associates 1610 San Pedro Ne #a Albuquerque NM 87110 Ph: (505) 265-0753 |
| NPI Number | 1033230818 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033230818 | NPI | - | NPPES |
| 65000862 | Medicaid | NM | |
| NM600178 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-4453 (New Mexico) | Primary |
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