Individual
BRIAN THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 JUAN TABO BLVD NE STE D, ALBUQUERQUE, NM 87111-3979
(505) 633-7898
(505) 355-1394
Mailing address
4001 JUAN TABO BLVD NE STE D, ALBUQUERQUE, NM 87111-3979
(505) 633-7898
(505) 355-1394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2026-0084
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
03/16/2026
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