| Ra Jordan Consulting Llc | |
|
320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955 | |
| (505) 345-2778 | |
| (505) 345-2878 |
| Full Name | Ra Jordan Consulting Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 320 Osuna Rd Ne Ste H4, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rosalie A Jordan (LPCC) |
| Authorized Official Contact | 5053452778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ra Jordan Consulting Llc 320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955 Ph: (505) 345-2778 | Ra Jordan Consulting Llc 320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955 Ph: (505) 345-2778 |
| NPI Number | 1336686542 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336686542 | NPI | - | NPPES |
| 516463954 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0106 (New Mexico) | Primary |
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