| Patricia Martinez Burr, Ma, Lpcc, Ncc | |
|
6666 4th St Nw Suite B Los Ranchos NM 87107-6144 | |
| (505) 463-0472 | |
| (505) 344-7581 |
| Full Name | Patricia Martinez Burr, Ma, Lpcc, Ncc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6666 4th St Nw, Los Ranchos, New Mexico |
| Authorized Official Name and Position | Paricia Martinez Burr (LICENSED PROFESSIONAL CLINICAL COUN) |
| Authorized Official Contact | 5054630472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Martinez Burr, Ma, Lpcc, Ncc 6666 4th St Nw Suite B Los Ranchos NM 87107-6144 Ph: (505) 463-0472 | Patricia Martinez Burr, Ma, Lpcc, Ncc 6666 4th St Nw Suite B Los Ranchos NM 87107-6144 Ph: (505) 463-0472 |
| NPI Number | 1699013169 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699013169 | NPI | - | NPPES |
| 36171883 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2191 (New Mexico) | Primary |
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