Healthcare Provider Details

I. General information

NPI: 1942522024
Provider Name (Legal Business Name): RONALD L SABERTON LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE NM
87109-1529
US

IV. Provider business mailing address

7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE NM
87109-1529
US

V. Phone/Fax

Practice location:
  • Phone: 505-880-0100
  • Fax: 505-880-0100
Mailing address:
  • Phone: 505-880-0100
  • Fax: 505-880-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0129321
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: