Intentional Path Counseling Llc | |
306 Washington St Se Albuquerque NM 87108-2735 | |
(505) 980-0954 | |
Not Available |
Full Name | Intentional Path Counseling Llc |
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Speciality | Social Worker |
Location | 306 Washington St Se, Albuquerque, New Mexico |
Authorized Official Name and Position | Vanya Garabedian (OWNER) |
Authorized Official Contact | 5059800954 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Intentional Path Counseling Llc Po Box 4642 Albuquerque NM 87196-4642 Ph: (505) 980-0954 | Intentional Path Counseling Llc 306 Washington St Se Albuquerque NM 87108-2735 Ph: (505) 980-0954 |
NPI Number | 1427599356 |
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Provider Enumeration Date | 03/11/2017 |
Last Update Date | 07/26/2022 |
Certification Date | 07/26/2022 |
Medicare PECOS PAC ID | 7911320783 |
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Medicare Enrollment ID | O20200713001251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427599356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-09065 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Vanya Garabedian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669756185 PECOS PAC ID: 7214350073 Enrollment ID: I20200713001145 |
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