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NPI Code Detail

MEDICARE: ABELLA COUNSELING, LLC

MEDICARE: ABELLA COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0158421NM

General Provider Information

NPI Number : 1497299788
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABELLA COUNSELING, LLC
Provider Business Mailing Address
First Line : 6300 RIVERSIDE PLAZA LN NW STE 100
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1908
Country : US
Telephone Number : 505-440-1726
Fax Number : 505-796-9601
Provider Business Practice Location Address
First Line : 6300 RIVERSIDE PLAZA LN NW STE 100
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1908
Country : US
Telephone Number : 505-440-1726
Fax Number : 505-796-9601
Authorized Official
Title or Position : OWNER/MENTAL HEALTH COUNSELOR
Name : HEATHER ABELLA
Credential : MA, LPCC
Telephone Number : 505-440-1726
Provider Enumeration Date : 12/06/2016
Last Update Date : 12/06/2016

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Directions to “ABELLA COUNSELING, LLC ” Practice Location

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