Healthcare Provider Details

I. General information

NPI: 1376333757
Provider Name (Legal Business Name): MONICA PAPP MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 CALLE CUERVO NW APT 621
ALBUQUERQUE NM
87114-9228
US

IV. Provider business mailing address

3405 CALLE CUERVO NW APT 621
ALBUQUERQUE NM
87114-9228
US

V. Phone/Fax

Practice location:
  • Phone: 505-486-2879
  • Fax:
Mailing address:
  • Phone: 505-486-2879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2024-0809
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: