Doctor Name: | MR. THOMAS S. BENDER |
NPI Number: | 1003006131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | 3377 |
Business Practice Address: | 3500 Comanche Blvd Ne, Building E, Suite #13 Albuquerque, NM - 871074849 |
Business Phone Number: | 5056811140 |
Business Fax Number: | 5058887943 |
Mailing Address: | 3500 Comanche Blvd Ne, Buidling E #13, ALBUQUERQUE |
State: | NM |
Postal Code: | 871074849 |
Phone Number: | 5056811140 |
Fax Number: | 5058887943 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |