| Life Stage Therapy | |
|
3301 Coors Blvd Nw Ste R Suite 148 Albuquerque NM 87120-1268 | |
| (505) 710-4259 | |
| Not Available |
| Full Name | Life Stage Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3301 Coors Blvd Nw Ste R, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michael P Morse (OWNER) |
| Authorized Official Contact | 5057104259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stage Therapy 3301 Coors Blvd Nw Ste R Suite 148 Albuquerque NM 87120-1268 Ph: (505) 710-4259 | Life Stage Therapy 3301 Coors Blvd Nw Ste R Suite 148 Albuquerque NM 87120-1268 Ph: (505) 710-4259 |
| NPI Number | 1649578980 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649578980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0248 (New Mexico) | Primary |
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