Pathways Human Services, Llc | |
610 Gold Ave Sw Suite 236 Albuquerque NM 87102-3146 | |
(505) 998-0422 | |
Not Available |
Full Name | Pathways Human Services, Llc |
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Speciality | Counselor - Professional |
Location | 610 Gold Ave Sw, Albuquerque, New Mexico |
Authorized Official Name and Position | Richard Scott Wallace (STATE DIRECTOR) |
Authorized Official Contact | 5123438606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pathways Human Services, Llc 1524 S Ih 35 Suite 210 Austin TX 78704-8931 Ph: (512) 343-8606 | Pathways Human Services, Llc 610 Gold Ave Sw Suite 236 Albuquerque NM 87102-3146 Ph: (505) 998-0422 |
NPI Number | 1265977557 |
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Provider Enumeration Date | 12/22/2016 |
Last Update Date | 12/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265977557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1044 (New Mexico) | Primary |
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