| Juntos Podemos Inc Ii | |
|
2715 4th St Nw Albuquerque NM 87107-1329 | |
| (505) 242-4533 | |
| (505) 242-4240 |
| Full Name | Juntos Podemos Inc Ii |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2715 4th St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Miguel Gonzales (COUNSELOR) |
| Authorized Official Contact | 5052349614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juntos Podemos Inc Ii 5836 Irving Blvd Nw Albuquerque NM 87114-4839 Ph: (505) 234-9614 | Juntos Podemos Inc Ii 2715 4th St Nw Albuquerque NM 87107-1329 Ph: (505) 242-4533 |
| NPI Number | 1871045120 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871045120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3659 (New Mexico) | Primary |
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