| Mrs Christine Marie Moore, LMFT | |
|
1001 W. Broadway, D & E, Farmington, NM 87401-5638 | |
| (505) 327-4796 | |
| (505) 599-9351 |
| Full Name | Mrs Christine Marie Moore |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1001 W. Broadway, Farmington, 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 |
|---|---|---|---|
| 1285116681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | CTB-2023-0090 (New Mexico) | Primary |
| Entity Name | Presbyterian Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
| Entity Name | Three Hearts Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235487372 PECOS PAC ID: 8527202373 Enrollment ID: O20140721000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christine Marie Moore, LMFT 1001 W. Broadway, D & E, Farmington, NM 87401-5638 Ph: (505) 327-4796 | Mrs Christine Marie Moore, LMFT 1001 W. Broadway, D & E, Farmington, NM 87401-5638 Ph: (505) 327-4796 |
Dr. Donald Richard Froyd Jr., PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2130 Farmington Ave Ste A, Farmington, NM 87401 Phone: 505-325-2323 Fax: 505-325-7172 | |
Devon Dillon, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 313 W Apache St, Farmington, NM 87401 Phone: 505-325-5321 | |
Pamela Kay Givens, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6330 Precept Way, Farmington, NM 87402 Phone: 530-470-3015 | |
Mrs. Jean Madeleine Manz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3510 Messina Dr, Farmington, NM 87402 Phone: 505-716-7995 | |
Mr. Charles Benson Stacey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3510 Messina Dr, Farmington, NM 87402 Phone: 832-630-3022 | |
Daniel L Casias, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 N Behrend Ave, Suite G, Farmington, NM 87401 Phone: 505-326-2736 |