| New Mexico Counseling And Brain Health | |
|
6121 Indian School Rd Ne Ste 103 Albuquerque NM 87110-4165 | |
| (505) 338-0720 | |
| Not Available |
| Full Name | New Mexico Counseling And Brain Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6121 Indian School Rd Ne Ste 103, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennifer Marie Harrison-sanchez (DIRECTOR OF PROGRAM DEVELOPMENT) |
| Authorized Official Contact | 5053380720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Counseling And Brain Health 6121 Indian School Rd Ne Ste 103 Albuquerque NM 87110-4165 Ph: (505) 338-0720 | New Mexico Counseling And Brain Health 6121 Indian School Rd Ne Ste 103 Albuquerque NM 87110-4165 Ph: (505) 338-0720 |
| NPI Number | 1699117275 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699117275 | NPI | - | NPPES |
| 289538YQQA | Other | NM | MEDICARE MEMBER PROVIDER NUMBER |
| 277544 | Other | NM | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-08251 (New Mexico) | Primary |
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