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Organization
BRIDGES EDUCATIONAL SERVICES FOR CHILDREN WITH AUTISM, INC.
Active
Organization
BRIDGES EDUCATIONAL SERVICES FOR CHILDREN WITH AUTISM, INC.
Active
Other names
Bridges
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ERTLE MS, LPCC (OWNER)
(505) 379-1550
Entity
Organization
Contact information
Practice address
6501 CYPRESS POINT WAY NE, ALBUQUERQUE, NM 87111-6411
(505) 379-1550
(800) 714-4705
Mailing address
6501 CYPRESS POINT WAY NE, ALBUQUERQUE, NM 87111-6411
(505) 379-1550
(800) 714-4705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0084951
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22306854
—
NM
01
—
VNM01024
VALUE OPTIONS OF NM
NM
Enumeration date
08/08/2007
Last updated
06/15/2010
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