| Functional Family Therapy | |
|
300 San Mateo Blvd Ne Ste 410 300 San Mateo Blvd Ne Ste 410 Albuquerque NM 87108-1503 | |
| (505) 841-6372 | |
| (505) 841-2949 |
| Full Name | Functional Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 300 San Mateo Blvd Ne Ste 410, Albuquerque, New Mexico |
| Authorized Official Name and Position | Minor Morgan (BUREAU CHIEF, CYFDJJS ENTITLEMENT) |
| Authorized Official Contact | 5058416372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Family Therapy 300 San Mateo Blvd Ne Ste 410 300 San Mateo Blvd Ne Ste 410 Albuquerque NM 87108-1503 Ph: (505) 841-6372 | Functional Family Therapy 300 San Mateo Blvd Ne Ste 410 300 San Mateo Blvd Ne Ste 410 Albuquerque NM 87108-1503 Ph: (505) 841-6372 |
| NPI Number | 1124194600 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124194600 | NPI | - | NPPES |
| NM600533VNM00237OT | Other | NM | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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