Healthcare Provider Details

I. General information

NPI: 1992899462
Provider Name (Legal Business Name): GENEVA FRANCES NASH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10211 MONTGOMERY BLVD. SUITE 7
ALBUQUERQUE NM
87111
US

IV. Provider business mailing address

5508 LA VISTA GRANDE PL.
ALBUQUERQUE NM
87111
US

V. Phone/Fax

Practice location:
  • Phone: 505-938-9382
  • Fax:
Mailing address:
  • Phone: 505-292-5655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberNM2298
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: