Healthcare Provider Details

I. General information

NPI: 1265765168
Provider Name (Legal Business Name): GAIL F ALBERS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 MANZANO ST NE
ALBUQUERQUE NM
87110-6302
US

IV. Provider business mailing address

622 MANZANO ST NE
ALBUQUERQUE NM
87110-6302
US

V. Phone/Fax

Practice location:
  • Phone: 505-925-4051
  • Fax: 505-925-4055
Mailing address:
  • Phone: 505-925-4051
  • Fax: 505-925-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0174301
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: