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NPI Code Detail

MEDICARE: SARAH CONSTANCE

MEDICARE: SARAH CONSTANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1285580092
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARAH CONSTANCE
Provider Business Mailing Address
First Line : 3808 PALACIO DEL RIO GRANDE NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-3024
Country : US
Telephone Number : 505-288-1517
Fax Number :
Provider Business Practice Location Address
First Line : 3808 PALACIO DEL RIO GRANDE NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-3024
Country : US
Telephone Number : 505-288-1517
Fax Number :
Authorized Official
Title or Position : CLINICIAN
Name : SARAH CONSTANCE JOHNSON
Credential : LCSW
Telephone Number : 505-288-1517
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “SARAH CONSTANCE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.