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Organization

ELEVATION COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMERON COVA (MEMBER OF OWNER LLC)
(505) 888-1686
Entity
Organization

Contact information

Practice address
6612 GULTON CT NE STE A, ALBUQUERQUE, NM 87109-4407
(505) 888-1686
(505) 888-1683
Mailing address
6612 GULTON CT NE STE A, ALBUQUERQUE, NM 87109-4407
(505) 888-1686
(505) 888-1683

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73221538
NM
Enumeration date
03/04/2014
Last updated
05/20/2022
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