Organization
CONSCIOUSNESS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ROSE GHAMMACHI BENNETT (PROFESSIONAL COUNSELOR)
(505) 265-9662
Entity
Organization
Contact information
Practice address
13301 MANITOBA DR NE, ALBUQUERQUE, NM 87111-2952
(505) 265-9662
Mailing address
13301 MANITOBA DR NE, ALBUQUERQUE, NM 87111-2952
(505) 265-9662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0894
NM
Other
Enumeration date
10/26/2007
Last updated
07/03/2008
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