Healthcare Provider Details
I. General information
NPI: 1386453348
Provider Name (Legal Business Name): INGELA ONSTAD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2025
Last Update Date: 01/04/2025
Certification Date: 01/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3939 ANDERSON AVE SE
ALBUQUERQUE NM
87108-4306
US
IV. Provider business mailing address
3939 ANDERSON AVE SE
ALBUQUERQUE NM
87108-4306
US
V. Phone/Fax
- Phone: 505-670-6232
- Fax:
- Phone: 505-670-6232
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
INGELA
ONSTAD
Title or Position: OWNER
Credential: LPCC
Phone: 505-670-6232