Individual
MRS. BEVERLY JEANNE BENTZEN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC LMFT
Contact information
Practice address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(508) 856-7103
Mailing address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(505) 856-7103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0868
NM
106H00000X
Marriage & Family Therapist
CMF2814
NM
Other
Enumeration date
10/10/2006
Last updated
10/18/2018
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