Most Relevant Information
Provider Data
| NPI Number: | 1003375817 |
| Provider Name: | DOUGLAS BYRON THIGPEN M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | T-CTL0202461 |
Most Important Dates
| Enumeration Date: | 03/19/2019 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2551 COORS BLVD NW
ALBUQUERQUE
NM
871201213
Practice Location Phone/Fax
| Phone: | 5058332300 |
| Fax: |
Provider Mailing Location
214 CORNELL DR SE APT B
ALBUQUERQUE
NM
871065518
Provider Mailing Phone/Fax
| Phone: | 5759371730 |
| Fax: |