| Cyd Davis-hubler Llc | |
|
9301 Indian School Rd Ne Ste 200f Albuquerque NM 87112-2884 | |
| (505) 308-2028 | |
| Not Available |
| Full Name | Cyd Davis-hubler Llc |
|---|---|
| Speciality | Counselor |
| Location | 9301 Indian School Rd Ne Ste 200f, Albuquerque, New Mexico |
| Authorized Official Name and Position | Cynthia Davis-hubler (COUNSELOR) |
| Authorized Official Contact | 3179894579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cyd Davis-hubler Llc 4211 Louisiana Blvd Ne Apt 1121 Albuquerque NM 87109-1842 Ph: (317) 989-4579 | Cyd Davis-hubler Llc 9301 Indian School Rd Ne Ste 200f Albuquerque NM 87112-2884 Ph: (505) 308-2028 |
| NPI Number | 1568080042 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Medicare PECOS PAC ID | 8426590563 |
|---|---|
| Medicare Enrollment ID | O20240605000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568080042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cynthia Davis-hubler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588113153 PECOS PAC ID: 9335681477 Enrollment ID: I20240612001120 |
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