Organization
SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROCHELLE ROBYN ATENCIO LISW (BEHAVIORAL HEALTH THERAPIST)
(505) 554-8302
Entity
Organization
Contact information
Practice address
5020 SAN PEDRO CT NE, ALBUQUERQUE, NM 87109-2515
(505) 554-8302
(505) 881-2646
Mailing address
5020 SAN PEDRO CT NE, ALBUQUERQUE, NM 87109-2515
(505) 554-8302
(505) 881-2646
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
FA0117647
NM
261QM0855X
Adolescent and Children Mental Health Clinic/Center
FAO117647
NM
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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