Most Relevant Information
Provider Data
| NPI Number: | 1003658311 |
| Provider Name: | JASON FOLEY GILBERT LSAA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CTB-2024-0411 |
Most Important Dates
| Enumeration Date: | 06/07/2024 |
| Last Updated: | 06/07/2024 |
Provider Practice Location
630 HAINES AVE NW
ALBUQUERQUE
NM
871021226
Practice Location Phone/Fax
| Phone: | 5052685611 |
| Fax: |
Provider Mailing Location
21 RANCH RD
CEDAR CREST
NM
870089712
Provider Mailing Phone/Fax
| Phone: | 5056810499 |
| Fax: |