| Affective Therapeutic Solutions Llc | |
|
1005 21st St Se Suite 11 Rio Rancho NM 87124-4030 | |
| (505) 264-1698 | |
| (505) 359-3243 |
| Full Name | Affective Therapeutic Solutions Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1005 21st St Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Jamie Lynn Gonzales (OWNER/THERAPIST) |
| Authorized Official Contact | 5052641698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affective Therapeutic Solutions Llc 1005 21st St Se Suite 11 Rio Rancho NM 87124-4030 Ph: (505) 264-1698 | Affective Therapeutic Solutions Llc 1005 21st St Se Suite 11 Rio Rancho NM 87124-4030 Ph: (505) 264-1698 |
| NPI Number | 1720408487 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 04/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720408487 | NPI | - | NPPES |
| 29283396 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-07502 (New Mexico) | Primary |
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