Susan Lane Lpcc | |
4810 Hardware Dr Ne Suite 5 Albuquerque NM 87109 | |
(505) 830-1200 | |
(505) 830-1203 |
Full Name | Susan Lane Lpcc |
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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 |
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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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