Individual
AMANDA S DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
(505) 717-1473
Mailing address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
(505) 717-1473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0087911
NM
106H00000X
Marriage & Family Therapist
Primary
0099731
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202005549
PRESBYTERIAN HEALTH PLAN
NM
05
—
46751386
—
NM
Enumeration date
10/11/2006
Last updated
03/19/2021
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