Organization
WESTSIDE COUNSELING
Active
Organization
WESTSIDE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSUELO GARVEY-SIERRA LISW (SOCIAL WORKER)
(505) 319-3427
Entity
Organization
Contact information
Practice address
2929 COORS BLVD NW, SUITE 310 P, ALBUQUERQUE, NM 87120-1173
(505) 319-3427
Mailing address
2929 COORS BLVD NW, SUITE 310 P, ALBUQUERQUE, NM 87120-1173
(505) 319-3427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-04747
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64558568
—
NM
Enumeration date
10/14/2011
Last updated
10/14/2011
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