| Rio Grande Counseling & Guidance Services, Pa | |
|
1010 Las Lomas Rd Ne Suite 4 Albuquerque NM 87102-2634 | |
| (505) 246-8700 | |
| Not Available |
| Full Name | Rio Grande Counseling & Guidance Services, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1010 Las Lomas Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jt Carrillo (CEO) |
| Authorized Official Contact | 5052597769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Counseling & Guidance Services, Pa 2132 Central Ave Se Suite 249 Albuquerque NM 87106-4083 Ph: (505) 259-7769 | Rio Grande Counseling & Guidance Services, Pa 1010 Las Lomas Rd Ne Suite 4 Albuquerque NM 87102-2634 Ph: (505) 246-8700 |
| NPI Number | 1477507069 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477507069 | NPI | - | NPPES |
| 40136728 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-04891 (New Mexico) | Primary |
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