| Revolution Counseling Inc | |
|
10800 Comanche Rd Ne Apt 203 Albuquerque NM 87111-3966 | |
| (575) 538-1127 | |
| Not Available |
| Full Name | Revolution Counseling Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10800 Comanche Rd Ne Apt 203, Albuquerque, New Mexico |
| Authorized Official Name and Position | Deanna Lasater (COUNSELOR) |
| Authorized Official Contact | 5755381127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Counseling Inc 10800 Comanche Rd Ne Apt 203 Albuquerque NM 87111-3966 Ph: (575) 538-1127 | Revolution Counseling Inc 10800 Comanche Rd Ne Apt 203 Albuquerque NM 87111-3966 Ph: (575) 538-1127 |
| NPI Number | 1962870063 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 09/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962870063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0086031 (New Mexico) | Primary |
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