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NPI Code Detail

MEDICARE: MR. OSCAR F GARCIA JR. COUNSELOR, LMHC/LSAA

MEDICARE: MR. OSCAR F GARCIA JR. COUNSELOR, LMHC/LSAA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCSA0221391NM
2101Y00000XCounselorT-CTL0220731NM

General Provider Information

NPI Number : 1720457062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. OSCAR F GARCIA JR. COUNSELOR, LMHC/LSAA
Provider Business Mailing Address
First Line : 1600 SAN PEDRO DR NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-6734
Country : US
Telephone Number : 505-404-0717
Fax Number : 505-999-1172
Provider Business Practice Location Address
First Line : 1600 SAN PEDRO DR NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-6734
Country : US
Telephone Number : 505-404-0717
Fax Number : 505-999-1172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 08/10/2022

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