| Victron70 Pastoral Counseling Agency LLC | |
|
1212 Candelaria Rd Nw Apt 35 Albuquerque NM 87107-2739 | |
| (505) 918-0764 | |
| Not Available |
| Full Name | Victron70 Pastoral Counseling Agency LLC |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1212 Candelaria Rd Nw Apt 35, Albuquerque, New Mexico |
| Authorized Official Name and Position | Alvin Walker (OWNER) |
| Authorized Official Contact | 5059180764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victron70 Pastoral Counseling Agency LLC 1212 Candelaria Rd Nw Apt 35 Albuquerque NM 87107-2739 Ph: (505) 918-0764 | Victron70 Pastoral Counseling Agency LLC 1212 Candelaria Rd Nw Apt 35 Albuquerque NM 87107-2739 Ph: (505) 918-0764 |
| NPI Number | 1194671826 |
|---|---|
| Provider Enumeration Date | 03/05/2026 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Medicare PECOS PAC ID | 9133691173 |
|---|---|
| Medicare Enrollment ID | O20260610004294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194671826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
| Provider Name | Alvin Victronia Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538874292 PECOS PAC ID: 7113499161 Enrollment ID: I20260610004476 |
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