Organization
GRYPHON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY GLICKMAN LPCC (OWNER)
(575) 590-4690
Entity
Organization
Contact information
Practice address
229 GRACELAND DR NE, ALBUQUERQUE, NM 87108-1114
(575) 590-4690
Mailing address
4312 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0125451
NM
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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