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Organization

ARBOR COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNE D PRATT LPCC (CLINICAL DIRECTOR)
(505) 301-1899
Entity
Organization

Contact information

Practice address
2501 SAN PEDRO DR NE, SUITE 214, ALBUQUERQUE, NM 87110-4122
(505) 414-7721
(678) 426-6620
Mailing address
2501 SAN PEDRO DR NE, SUITE 214, ALBUQUERQUE, NM 87110-4122
(505) 414-7721
(678) 426-6620

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0125261
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80427855
NM
Enumeration date
09/07/2010
Last updated
09/04/2012
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