| The People's Counseling And Consulting, Llc | |
|
4718 Idlewilde Ln Se Albuquerque NM 87108-3424 | |
| (505) 435-0074 | |
| Not Available |
| Full Name | The People's Counseling And Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4718 Idlewilde Ln Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ivan Roque (MEMBER/OWNER) |
| Authorized Official Contact | 5054350074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The People's Counseling And Consulting, Llc 4718 Idlewilde Ln Se Albuquerque NM 87108-3424 Ph: (505) 435-0074 | The People's Counseling And Consulting, Llc 4718 Idlewilde Ln Se Albuquerque NM 87108-3424 Ph: (505) 435-0074 |
| NPI Number | 1396345328 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Medicare PECOS PAC ID | 2961857107 |
|---|---|
| Medicare Enrollment ID | O20231009001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396345328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ivan Marie Roque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447401195 PECOS PAC ID: 2567872906 Enrollment ID: I20201113000698 |
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