MR. DARREL RICHARD KNUTSON


Address: 4225 Montgomery Blvd Ne, Albuquerque, NM 87109-1103
Phone: 5058811820

MR. DARREL RICHARD KNUTSON (NPI# 1902091531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902091531
Entity Type Individual
Full Name MR. DARREL RICHARD KNUTSON
Credential LMHC MA
Practice Address 4225 Montgomery Blvd Ne
Albuquerque
NM 87109-1103
Mailing Address Po Box 16778
Albuquerque
NM 87191-6778
Practice Telephone 5058811820
Practice Fax Number 5058811850
Mailing Telephone 5054891283
Mailing Fax Number 5052924116
Enumeration Date 2007-09-06
Last Update Date 2007-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0107091 NM Behavioral Health & Social Service Providers

Office Location

Street Address 4225 MONTGOMERY BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87109-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033290283 Consuelo Garvey-sierra Social Worker 4225 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 2006-10-17
1750582094 Jerry Carl Blankenbecler Counselor 4225 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 2007-05-31
1154540250 Life Strategies Counseling Counselor 4225 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 2007-04-25
1639239718 Martha Anne Mims-dowling Social Worker 4225 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 2006-12-11

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1043795149 Margaret Mcconville Physical Therapist Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-09-25
1922586262 Clark Endodontics LLC Dentist 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 2018-07-30
1447736202 Melissa Christine Scott Registered Nurse Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-07-16
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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