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Organization

CAPACITY BUILDERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE OFTEDAL (SENIOR MANAGEMENT/QUALITY CONTROL)
(505) 289-7790
Entity
Organization

Contact information

Practice address
2200 BLOOMFIELD HWY, FARMINGTON, NM 87401-8110
(505) 278-7789
(505) 326-1698
Mailing address
2200 BLOOMFIELD HWY, FARMINGTON, NM 87401-8110
(505) 278-7789
(505) 326-1698

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
Primary
103TF0000X
Family Psychologist

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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