| Gia Family Counseling, Llc | |
|
11816 Native Dancer Rd Se Albuquerque NM 87123-2369 | |
| (505) 322-5856 | |
| Not Available |
| Full Name | Gia Family Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11816 Native Dancer Rd Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennie Dunnell (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 5053225856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gia Family Counseling, Llc 8226 Menaul Blvd Ne # 474 Albuquerque NM 87110-4614 Ph: () - | Gia Family Counseling, Llc 11816 Native Dancer Rd Se Albuquerque NM 87123-2369 Ph: (505) 322-5856 |
| NPI Number | 1356039994 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 04/30/2023 |
| Medicare PECOS PAC ID | 4183073463 |
|---|---|
| Medicare Enrollment ID | O20231212002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356039994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennie Dunnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710461975 PECOS PAC ID: 5092164376 Enrollment ID: I20231212002351 |
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