Individual
BETHANY PINSONNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 663-6053
Mailing address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 663-6053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SWB-2022-1038
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0071
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16931386
—
NM
Enumeration date
10/17/2018
Last updated
01/28/2025
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