Organization
COLLABORATIVE COUNSELING 505, LLC
Active
Other names
Collaborative Counseling 505
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HUFNAGEL LCSW (OWNER)
(505) 705-9636
Entity
Organization
Contact information
Practice address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-5324
(505) 705-9636
Mailing address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-5324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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