Individual
GENE CROFTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6314 ANTARES RD NE, ALBUQUERQUE, NM 87111-1234
(305) 531-0638
Mailing address
6314 ANTARES RD NE, ALBUQUERQUE, NM 87111-1234
(305) 531-0638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0174041
NM
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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