Provider Demographics
NPI:1376879296
Name:ALBO, ALAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:ALBO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 W ARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-8513
Mailing Address - Country:US
Mailing Address - Phone:505-564-3733
Mailing Address - Fax:505-564-3788
Practice Address - Street 1:653 W ARRINGTON ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-8513
Practice Address - Country:US
Practice Address - Phone:505-564-3733
Practice Address - Fax:505-564-3788
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-118641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical