Organization
BOBBI EBSEN PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI EBSEN LMSW, LCSW (OWNER/PSYCHOTHERAPIST)
(510) 391-4099
Entity
Organization
Contact information
Practice address
2501 RIO GRANDE BLVD NW STE A, ALBUQUERQUE, NM 87104-3233
(510) 391-4099
(510) 328-7386
Mailing address
2501 RIO GRANDE BLVD NW STE A, ALBUQUERQUE, NM 87104-3233
(510) 391-4099
(510) 328-7386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085914
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI6664
MEDICARE GROUP
MI
01
—
MI6664001
MEDICARE INDIVIDUAL
MI
Enumeration date
06/05/2013
Last updated
05/11/2026
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