Organization
ALIVIAR COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL REGENSBERG LADAC (CEO)
(505) 247-4622
Entity
Organization
Contact information
Practice address
2301 YALE BLVD SE, SUITE C-6, ALBUQUERQUE, NM 87106-4228
(505) 247-4622
(505) 247-1373
Mailing address
2301 YALE BLVD SE, SUITE C-6, ALBUQUERQUE, NM 87106-4228
(505) 247-4622
(505) 247-1373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0065322
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
3676
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
3678
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-0094391
NM
101YM0800X
Mental Health Counselor
0088171
NM
1041C0700X
Clinical Social Worker
Primary
I-07173
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35882751
—
NM
Enumeration date
09/25/2006
Last updated
07/22/2010
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