Individual
MISS KRISTA ELENA BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2418 MILES RD SE, ALBUQUERQUE, NM 87106-3224
(505) 888-1121
(505) 797-0310
Mailing address
PO BOX 51834, ALBUQUERQUE, NM 87181-1834
(505) 888-1121
(505) 797-0310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3313
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10007314
LOVELACE HEALTH PLAN
NM
01
—
168841
MANAGED HEALTH NETWORK
NM
01
—
NM00JA67
NM BLUE CROSS BLUE SHIELD
NM
01
—
NM100173
VALUE OPTIONS OF NM
NM
05
—
R4817
—
NM
Enumeration date
10/26/2006
Last updated
07/09/2007
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