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Organization
INNER PEAK YOUTH COUNSELING, LLC
Active
Organization
INNER PEAK YOUTH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WADE BURNEY LPCC (CEO)
(505) 600-5803
Entity
Organization
Contact information
Practice address
11000 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-1751
(505) 600-5803
Mailing address
1125 KENTUCKY ST SE, ALBUQUERQUE, NM 87108-4942
(505) 600-5803
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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