Organization
COMPASSIONATE COUNSELING PSYCHOTHERAPY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R MICHAEL WESTBAY LCSW (CLINICAL SOCIAL WORKER)
(505) 688-9221
Entity
Organization
Contact information
Practice address
5800 MCLEOD RD NE, SUITE E, ALBUQUERQUE, NM 87109-2454
(505) 688-9221
Mailing address
4607 JAMAICA DR NE, ALBUQUERQUE, NM 87111-2839
(505) 688-9221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2575
NM
1041C0700X
Clinical Social Worker
Primary
C-2163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000J4878
—
NM
05
—
85971511
—
NM
Enumeration date
08/08/2016
Last updated
08/08/2016
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