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Organization

CLINICAL ASSESSMENT GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA RENEE LAVAIL LMFT (PSYCHOTHERAPIST/OWNER)
(505) 705-1701
Entity
Organization

Contact information

Practice address
6801 JEFFERSON ST NE STE 301, ALBUQUERQUE, NM 87109-4379
(505) 705-1701
(505) 212-1253
Mailing address
6801 JEFFERSON ST NE STE 301, ALBUQUERQUE, NM 87109-4379
(505) 705-1701
(505) 212-1253

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
251S00000X
Community/Behavioral Health Agency
0140161
NM
363L00000X
Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
06/17/2016
Last updated
06/17/2025
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