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Individual

DR. BETH GINERIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA DOM

Contact information

Practice address
7510 MONTGOMERY BLVD NE, SUITE 202, ALBUQUERQUE, NM 87109-1500
(505) 266-9604
(505) 323-9696
Mailing address
7510 MONTGOMERY BLVD NE, SUITE 202, ALBUQUERQUE, NM 87109-1500
(505) 266-9604
(505) 323-9696

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0831
NM
171100000X
Acupuncturist
Primary
910RX1
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024531
NATIONAL CERTIFICATION CO
NM
01
3217
NEW MEXICO PSYCHOTHERAPY
NM
Enumeration date
07/19/2007
Last updated
07/19/2007
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