Healthcare Provider Details
I. General information
NPI: 1083360549
Provider Name (Legal Business Name): BARRY CHRISTOPHER ORE LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/23/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 YALE BLVD SE
ALBUQUERQUE NM
87106-4217
US
IV. Provider business mailing address
2600 YALE BLVD SE
ALBUQUERQUE NM
87106-4217
US
V. Phone/Fax
- Phone: 505-994-7936
- Fax:
- Phone: 505-994-7936
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CSA0205981 |
| License Number State | NM |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | CTB20260304 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: