Healthcare Provider Details

I. General information

NPI: 1275333411
Provider Name (Legal Business Name): ANNA FRANCO CPSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 MONTGOMERY BLVD NE STE V
ALBUQUERQUE NM
87111-2470
US

IV. Provider business mailing address

9201 MONTGOMERY BLVD NE STE V
ALBUQUERQUE NM
87111-2470
US

V. Phone/Fax

Practice location:
  • Phone: 505-507-7984
  • Fax:
Mailing address:
  • Phone: 505-507-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCTB-2025-0283
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number1702
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: