NPI 1053860585

Rebecca Frock Ma, Lpcc

Organisation Preferred Provider Organization Albuquerque, NM

Practice location

Address: 320 Osuna Rd NE Suite 4h, Albuquerque, NM 87107-5952
Phone: (505) 507-9087
Fax: (505) 345-2878

Authorised official

Name: Rebecca Frock
Title: Owner, Clinical Counselor
Phone: (505) 507-9087

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1314 (NM)

Other Preferred Provider Organization providers in New Mexico →

Registry record

NPI: 1053860585
Entity type: Organization
NPI issued: 26 Sep 2016
Record last updated: 26 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.