MAGNOLIA BEATRIZ GONZALEZ HEATON LCSW NPI 1720360068

NPI Information

Magnolia Beatriz Gonzalez Heaton, LCSW is a counselor in Albuquerque, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Magnolia Beatriz Gonzalez Heaton, LCSW NPI is 1720360068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 DARTMOUTH DR SE
UNIT D
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 333-9042
Fax: (505) 796-5475

The NPI 1720360068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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