| Susan Lane Lpcc | |
|
4810 Hardware Dr Ne Suite 5 Albuquerque NM 87109 | |
| (505) 830-1200 | |
| (505) 830-1203 |
| Full Name | Susan Lane Lpcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4810 Hardware Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Susan Lane (PRESIDENT) |
| Authorized Official Contact | 5058301200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lane Lpcc 560 Berry Rd Nw Albuquerque NM 87107 Ph: (505) 830-1200 | Susan Lane Lpcc 4810 Hardware Dr Ne Suite 5 Albuquerque NM 87109 Ph: (505) 830-1200 |
| NPI Number | 1841418019 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841418019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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