Individual
MR. DOUGLAS BYRON THIGPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 833-2300
Mailing address
214 CORNELL DR SE APT B, ALBUQUERQUE, NM 87106-5518
(575) 937-1730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-CTL0202461
NM
101YP2500X
Professional Counselor
Primary
CCMH0225461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332843292
—
NM
Enumeration date
03/19/2019
Last updated
07/21/2022
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