Individual provider · NPI-1

Julie E Ackron, LCSW

Social Worker, Clinical · Rio Rancho, NM

NPI number1205087301
StatusActive
Last updated in NPPESFeb 22, 2024

Details

NPI
1205087301
Entity type
Individual (NPI-1)
Name
Julie E Ackron
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2008
Certification date
Feb 22, 2024
Last updated
Feb 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC-07666NMYes

Practice location

4800 Cleveland Heights Rd Ne
Rio Rancho, NM 87144-1607

Phone 505-938-0300

Mailing address

4800 Cleveland Heights Rd Ne
Rio Rancho, NM 87144-1607

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