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Organization
CYFD-STATE OF NEW MEXICO-FFT
Active
Organization
CYFD-STATE OF NEW MEXICO-FFT
Active
Other names
Functional Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINOR MORGAN LISW (BUREAU CHIEF, CYFDJJS ENTITLEMENT)
(505) 841-6372
Entity
Organization
Contact information
Practice address
300 SAN MATEO BLVD NE STE 410, 300 SAN MATEO BLVD NE STE 410, ALBUQUERQUE, NM 87108-1503
(505) 841-6372
(505) 841-2949
Mailing address
300 SAN MATEO BLVD NE STE 410, 300 SAN MATEO BLVD NE STE 410, ALBUQUERQUE, NM 87108-1503
(505) 841-6372
(505) 841-2949
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM600533VNM00237OT
VALUE OPTIONS
NM
Enumeration date
11/28/2006
Last updated
08/07/2008
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