Organization
BALANCED PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PONTES (OWNER)
(505) 918-7955
Entity
Organization
Contact information
Practice address
621 WALTER ST SE, ALBUQUERQUE, NM 87102-3949
(505) 918-7955
Mailing address
621 WALTER ST SE, ALBUQUERQUE, NM 87102-3949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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