Provider Demographics
NPI:1689198582
Name:GARBERINA, MARGARET ANN (PHD, LPCC, LADAC,)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:GARBERINA
Suffix:
Gender:F
Credentials:PHD, LPCC, LADAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4031 MACKLAND AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7711
Mailing Address - Country:US
Mailing Address - Phone:505-264-1086
Mailing Address - Fax:
Practice Address - Street 1:4031 MACKLAND AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7711
Practice Address - Country:US
Practice Address - Phone:505-264-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3445101YA0400X
NM0085811101YA0400X, 101YP2500X
0085811101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty