| New Mexico Center For Empowerment And Mood Support Llc | |
|
11930 Menaul Blvd Ne Ste 220a Albuquerque NM 87112-2461 | |
| (505) 401-0520 | |
| Not Available |
| Full Name | New Mexico Center For Empowerment And Mood Support Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11930 Menaul Blvd Ne Ste 220a, Albuquerque, New Mexico |
| Authorized Official Name and Position | Andrew R Dubach (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 5054010520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Center For Empowerment And Mood Support Llc 530b Harkle Rd # 100 Santa Fe NM 87505-4739 Ph: (505) 401-0520 | New Mexico Center For Empowerment And Mood Support Llc 11930 Menaul Blvd Ne Ste 220a Albuquerque NM 87112-2461 Ph: (505) 401-0520 |
| NPI Number | 1508424987 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508424987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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