| Magic Lens Counseling | |
|
1124 Park Ave Sw Albuquerque NM 87102-2941 | |
| (505) 715-2802 | |
| Not Available |
| Full Name | Magic Lens Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1124 Park Ave Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen Hoogerbrugge (OWNER) |
| Authorized Official Contact | 5057152802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Lens Counseling Po Box 94508 Albuquerque NM 87199-4508 Ph: (505) 384-7352 | Magic Lens Counseling 1124 Park Ave Sw Albuquerque NM 87102-2941 Ph: (505) 715-2802 |
| NPI Number | 1194259689 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194259689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0120991 (New Mexico) | Primary |
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