Organization
TRISH KORENCHEN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA L KORENCHEN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(505) 385-8496
Entity
Organization
Contact information
Practice address
11927 MENAUL BLVD NE, ALBUQUERQUE, NM 87112
(505) 385-8496
Mailing address
10925 MALAGUENA LN NE, ALBUQUERQUE, NM 87111-6823
(505) 385-8496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-08243
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99906236
—
NM
Enumeration date
01/08/2016
Last updated
11/08/2018
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