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Organization

GADWAY COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITZI MCKOOL GADWELL LPCC (COUNSELOR)
(505) 323-3860
Entity
Organization

Contact information

Practice address
3916 JUAN TABO BLVD NE, SUITE 27, ALBUQUERQUE, NM 87111-3974
(505) 323-3860
(505) 323-9547
Mailing address
3916 JUAN TABO BLVD NE, SUITE 27, ALBUQUERQUE, NM 87111-3974
(505) 323-3860
(505) 323-9547

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0139921
NM

Other

Enumeration date
06/29/2011
Last updated
06/30/2011
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