Organization
MANOS DE DIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSY KAY ASHCROFT MA, LPCC/LADAC (OWNER/ PROVIDER)
(505) 402-4228
Entity
Organization
Contact information
Practice address
318 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-3822
(505) 402-4228
(505) 877-0873
Mailing address
420 CHEROKEE RD NW, ALBUQUERQUE, NM 87107-3513
(505) 402-4228
(505) 877-0873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
065332
NM
101YP2500X
Professional Counselor
Primary
0071091
NM
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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