| True North Psychotherapy, Inc | |
|
12760 San Rafael Ave Ne Albuquerque NM 87122-1133 | |
| (505) 382-9742 | |
| Not Available |
| Full Name | True North Psychotherapy, Inc |
|---|---|
| Speciality | Counselor |
| Location | 12760 San Rafael Ave Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lora Blazina (DIRECTOR) |
| Authorized Official Contact | 5053829742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True North Psychotherapy, Inc Po Box 1602 Tijeras NM 87059-1602 Ph: () - | True North Psychotherapy, Inc 12760 San Rafael Ave Ne Albuquerque NM 87122-1133 Ph: (505) 382-9742 |
| NPI Number | 1265194146 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Medicare PECOS PAC ID | 7719413236 |
|---|---|
| Medicare Enrollment ID | O20241207000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265194146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lora Blazina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760812853 PECOS PAC ID: 3173059698 Enrollment ID: I20241207000253 |
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