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Organization

INNERWORK PSYCHOTHERAPY AND COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA ASHCRAFT (OFFICE MANAGER)
(505) 883-3076
Entity
Organization

Contact information

Practice address
2403 SAN MATEO BLVD NE STE W10, ALBUQUERQUE, NM 87110-4070
(505) 883-3076
(505) 883-3076
Mailing address
2403 SAN MATEO BLVD NE STE W10, ALBUQUERQUE, NM 87110-4070
(505) 883-3076
(505) 883-3076

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10007079
LOVELACE HEALTHPLAN
NM
Enumeration date
02/06/2008
Last updated
02/06/2008
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