Individual
MARGARET ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
124 S 3RD ST, RATON, NM 87740-3910
(575) 707-3492
Mailing address
PO BOX 1755, RATON, NM 87740-1755
(575) 707-3492
(575) 707-3492
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
NA
—
175T00000X
Peer Specialist
Primary
841
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841
BEHAVIORAL HEALTH CREDENTIALING BOARD
NM
Enumeration date
08/20/2019
Last updated
09/03/2020
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