Provider Demographics
NPI:1720457062
Name:GARCIA, OSCAR F JR (COUNSELOR, LMHC/LSAA)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:F
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:COUNSELOR, LMHC/LSAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SAN PEDRO DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6734
Mailing Address - Country:US
Mailing Address - Phone:505-404-0717
Mailing Address - Fax:505-999-1172
Practice Address - Street 1:1600 SAN PEDRO DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6734
Practice Address - Country:US
Practice Address - Phone:505-404-0717
Practice Address - Fax:505-999-1172
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCSA0221391101YA0400X
NMT-CTL0220731101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)