Organization
GABRIELA MILLER LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL BANCROFT (DIRECTOR OF OPERATIONS)
(505) 384-7352
Entity
Organization
Contact information
Practice address
6501 4TH ST NW STE E-2, LOS RANCHOS, NM 87107-5800
(505) 803-1923
Mailing address
2317 BRITT ST NE, ALBUQUERQUE, NM 87112-1541
(505) 803-1923
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639355308
INDIVIDUAL NPI
NM
Enumeration date
01/16/2019
Last updated
01/16/2019
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