| Eternal Light Counseling Llc | |
|
1867 Georgia St Ne Albuquerque NM 87110-5902 | |
| (505) 206-1430 | |
| Not Available |
| Full Name | Eternal Light Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1867 Georgia St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Glorijana Wolfgang (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5052061430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eternal Light Counseling Llc 1867 Georgia St Ne Albuquerque NM 87110-5902 Ph: (505) 206-1430 | Eternal Light Counseling Llc 1867 Georgia St Ne Albuquerque NM 87110-5902 Ph: (505) 206-1430 |
| NPI Number | 1467299123 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467299123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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