Individual
MR. CHARLES A DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7801 ACADEMY RD NE, BLDG 2 SUITE 200, ALBUQUERQUE, NM 87109-3379
(505) 262-9391
(505) 265-7860
Mailing address
7801 ACADEMY RD NE, BLDG 2 SUITE 200, ALBUQUERQUE, NM 87109-3379
(505) 262-9391
(505) 265-7860
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0927
NM
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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