Organization
ABQ COUNSELING AND MEDIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHLEEN S WILDE MA LPCC (PRESIDENT)
(505) 269-2429
Entity
Organization
Contact information
Practice address
48 GARDEN PARK CIRCLE NW, ALBUQUERQUE, NM 87107
(505) 269-2429
(505) 341-0584
Mailing address
48 GARDEN PARK CIRCLE NW, ALBUQUERQUE, NM 87107
(505) 269-2429
(505) 341-0584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0070981
NM
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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