Individual
MR. GARY S HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
7850 JEFFERSON ST NE, SUITE 300, ALBUQUERQUE, NM 87109-4315
(505) 884-1114
(505) 856-6320
Mailing address
7850 JEFFERSON ST NE STE 300, SUITE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 856-6320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6953904
—
NM
Enumeration date
05/25/2011
Last updated
10/31/2014
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