| Trish Korenchen Counseling, Llc | |
|
11927 Menaul Blvd Ne Albuquerque NM 87112 | |
| (505) 385-8496 | |
| Not Available |
| Full Name | Trish Korenchen Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11927 Menaul Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Patricia L Korenchen (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5053858496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trish Korenchen Counseling, Llc 10925 Malaguena Ln Ne Albuquerque NM 87111-6823 Ph: (505) 385-8496 | Trish Korenchen Counseling, Llc 11927 Menaul Blvd Ne Albuquerque NM 87112 Ph: (505) 385-8496 |
| NPI Number | 1912363714 |
|---|---|
| Provider Enumeration Date | 01/08/2016 |
| Last Update Date | 11/08/2018 |
| Medicare PECOS PAC ID | 9032453303 |
|---|---|
| Medicare Enrollment ID | O20181128001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912363714 | NPI | - | NPPES |
| 99906236 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | I-08243 (New Mexico) | Primary |
| Provider Name | Patricia L Korenchen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407164437 PECOS PAC ID: 0143504050 Enrollment ID: I20170221000851 |
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