| Pinon Grove Counseling | |
|
424 Stanford Dr Se Apt A4 Albuquerque NM 87106-3760 | |
| (717) 606-9651 | |
| Not Available |
| Full Name | Pinon Grove Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 424 Stanford Dr Se Apt A4, Albuquerque, New Mexico |
| Authorized Official Name and Position | Garrett Demko (OWNER) |
| Authorized Official Contact | 7176069651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinon Grove Counseling 424 Stanford Dr Se Apt A4 Albuquerque NM 87106-3760 Ph: (717) 606-9651 | Pinon Grove Counseling 424 Stanford Dr Se Apt A4 Albuquerque NM 87106-3760 Ph: (717) 606-9651 |
| NPI Number | 1861229569 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861229569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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