Organization
COUNSELING ABQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE DECKER LISW (OWNER)
(505) 220-8512
Entity
Organization
Contact information
Practice address
7001 MENAUL BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-3695
(505) 220-8512
Mailing address
7001 MENAUL BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-3695
(505) 220-8512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05056
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84779055
—
NM
Enumeration date
08/11/2014
Last updated
08/11/2014
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