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Organization

LIGHTHOUSE COUNSELING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA SUSAN LOMBARI LISW (CLINICAL DIRECTOR)
(505) 296-4449
Entity
Organization

Contact information

Practice address
2520 VIRGINIA NE, SUITE 200, ALBUQUERQUE, NM 87110
(505) 296-4449
(505) 296-0497
Mailing address
2520 VIRGINIA NE, SUITE 200, ALBUQUERQUE, NM 87110
(505) 296-4449
(505) 296-0497

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
FA0050579
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45721203
NM
Enumeration date
12/12/2006
Last updated
08/22/2020
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