| Paige Loreen Andre-hudson, | |
|
2050a 2nd St Se, Kirtland Afb, NM 87117-7530 | |
| (505) 846-3200 | |
| Not Available |
| Full Name | Paige Loreen Andre-hudson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023762333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-12018 (New Mexico) | Primary |
| Entity Name | Counseling Abq |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336558782 PECOS PAC ID: 2264733856 Enrollment ID: O20151228001100 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Loreen Andre-hudson, 80 Desert Willow Rd, Corrales, NM 87048-7530 Ph: (850) 259-3064 | Paige Loreen Andre-hudson, 2050a 2nd St Se, Kirtland Afb, NM 87117-7530 Ph: (505) 846-3200 |
Tina Yvette Bryant, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St, Se, Kirtland Afb, NM 87117 Phone: 505-846-3305 Fax: 505-846-3295 | |
Mrs. Lesley Dale Pacheco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050 A 2nd Street, Kirtland Afb, NM 87117 Phone: 505-846-0139 Fax: 505-846-6250 | |
Adrianna Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
M. Melisse Barlow, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a Second St. Se, Kirtland Afb, NM 87117 Phone: 505-853-4350 | |
Barry J Whetstone Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Kim M Romero, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-933-1482 |