Organization
NM FAMILY EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MAXWELL JACQUES (EXECUTIVE DIRECTOR)
(505) 717-7845
Entity
Organization
Contact information
Practice address
1923 ALVARADO DR NE, SUITE 7, ALBUQUERQUE, NM 87110-5161
(505) 717-7845
(866) 611-4627
Mailing address
1923 ALVARADO DR NE, SUITE 7, ALBUQUERQUE, NM 87110-5161
(505) 717-7845
(866) 611-4627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334856544
—
NM
Enumeration date
05/19/2008
Last updated
07/03/2012
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