Individual
BRENDA RAE ABERCROMBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADAC
Contact information
Practice address
900 ST FRANCIS DR, TULAROSA, NM 88352-2328
(575) 585-4319
(575) 993-5303
Mailing address
PO BOX 306, ALAMOGORDO, NM 88311-0306
(575) 585-4319
(575) 993-5303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
006083 (LADAC)
NM
101YM0800X
Mental Health Counselor
Primary
1271 (LPCC)
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201023019
PRESBYTERIAN HEALTH PLAN
NM
01
—
24078
LOVELACE HEALTH PLAN
NM
05
—
97235211
—
NM
01
—
NM01JA60
BCBS OF NM
NM
01
—
NM101063
VALUEOPTIONS
NM
Enumeration date
08/24/2006
Last updated
10/01/2020
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