| Skt Counseling Llc | |
|
4620 Hannett Ave Ne Albuquerque NM 87110-5014 | |
| (505) 948-4636 | |
| Not Available |
| Full Name | Skt Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4620 Hannett Ave Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Susan Klebanoff-taylor (LCSW) |
| Authorized Official Contact | 5059484636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skt Counseling Llc 4620 Hannett Ave Ne Albuquerque NM 87110-5014 Ph: () - | Skt Counseling Llc 4620 Hannett Ave Ne Albuquerque NM 87110-5014 Ph: (505) 948-4636 |
| NPI Number | 1558976597 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Medicare PECOS PAC ID | 2264842319 |
|---|---|
| Medicare Enrollment ID | O20201102001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558976597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Klebanoff-taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962917096 PECOS PAC ID: 2567893696 Enrollment ID: I20200505002604 |
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