Jan Tras Ma, Lpcc | |
5716 Madeira Pl Ne Albuquerque NM 87110-1272 | |
(505) 880-1185 | |
Not Available |
Full Name | Jan Tras Ma, Lpcc |
---|---|
Speciality | Community/Behavioral Health |
Location | 5716 Madeira Pl Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Jan L Tras (PRESIDENT) |
Authorized Official Contact | 5058801185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jan Tras Ma, Lpcc 5716 Madeira Pl Ne Albuquerque NM 87110-1272 Ph: (505) 880-1185 | Jan Tras Ma, Lpcc 5716 Madeira Pl Ne Albuquerque NM 87110-1272 Ph: (505) 880-1185 |
NPI Number | 1093576977 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 03/27/2024 |
Certification Date | 03/27/2024 |
Medicare PECOS PAC ID | 3577908193 |
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Medicare Enrollment ID | O20240305001449 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093576977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Jan L Tras |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043379043 PECOS PAC ID: 4486099009 Enrollment ID: I20240305001620 |
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