Individual
MICHAEL BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1718
(505) 318-0253
Mailing address
1721 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1718
(505) 318-0253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0224311
NM
Other
Enumeration date
04/02/2021
Last updated
04/12/2023
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