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Organization

SOUTHWEST FAMILY GUIDANCE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG L PIERCE PHD (CHIEF CLINICAL OFFICER)
(505) 830-1781
Entity
Organization

Contact information

Practice address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 830-1871
(505) 830-0040
Mailing address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 830-1871
(505) 830-0040

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
251S00000X
Community/Behavioral Health Agency
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
03/16/2007
Last updated
01/17/2024
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