Organization
FAMILIES TOGETHER/SELF REALIZATION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE RENEE ACKLEN LISW (PSYCHOTHERAPIST)
(505) 332-8549
Entity
Organization
Contact information
Practice address
9004 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2259
(505) 440-6009
(505) 332-8549
Mailing address
4938 ARROYO CHAMISA RD NE, ALBUQUERQUE, NM 87111-3716
(505) 332-8549
(505) 332-8549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I05822
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM100451
—
NM
Enumeration date
09/19/2008
Last updated
09/19/2008
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