Individual
GIDGET MCCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 1ST ST NW, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
(505) 247-9503
Mailing address
31 MORNINGSTAR DR, BERNALILLO, NM 87004-7027
(505) 382-1479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0161031
NM
101YM0800X
Mental Health Counselor
Primary
T-0176521
NM
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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