Doctor Name: | MRS. LESLEY DALE PACHECO |
NPI Number: | 1104930734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | M-4311 |
Business Practice Address: | 2050 A 2nd Street Kirtland Afb, NM - 87117 |
Business Phone Number: | 5058460139 |
Business Fax Number: | 5058466250 |
Mailing Address: | 2050a 2nd St Se, ALBUQUERQUE |
State: | NM |
Postal Code: | 871175522 |
Phone Number: | 5058460139 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | M-4311 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |