person
Ms. Demetra Childress, MS
Professional Counselor in Albuquerque, New Mexico
NPI 1801959432

Demetra Childress is a Professional Counselor based in Albuquerque, NM and is specialized in Professional. Demetra Childress practices in Albuquerque, NM and has the professional credentials of MS. The NPI Number for Demetra Childress is 1801959432 and holds a License No. 0975 (New Mexico).

The current practice location address for Demetra Childress is 4425 Juan Tabo Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-292-8908 and via fax at 505-292-3109. You can also correspond with Demetra Childress through the mailing address at 4425 JUAN TABO BLVD NE, ALBUQUERQUE, NM - 87111-2681 (mailing address contact number: 505-292-8908).

Location: 4425 Juan Tabo Blvd Ne, Albuquerque, NM, 87111-2681
person
Provider Profile Details
NPI Number
1801959432
Provider Name
Demetra Childress
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
4425 Juan Tabo Blvd Ne, Albuquerque, NM, 87111-2681
Phone Number
505-292-8908
Fax Number
505-292-3109
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01357573 05 NM
201012073 01 NM PRESBYTERIAN HEALTH PLAN
NM101536 01 NM VALUE OPTIONS SALVD
institution
Provider Business Practice Location Address Details
Address
4425 Juan Tabo Blvd Ne
City
State
Zip
87111-2681
Phone Number
505-292-8908
Fax Number
505-292-3109
person
Provider Business Mailing Address Details
Address
4425 Juan Tabo Blvd Ne
City
State
Zip
87111-2681
Phone Number
505-292-8908
Fax Number
505-292-3109
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0975 (New Mexico)
Definition
Definition to come...
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