| Alder And Oak Counseling Llc | |
|
1350 Central Ave Ste 204 Los Alamos NM 87544-6218 | |
| (520) 909-6264 | |
| Not Available |
| Full Name | Alder And Oak Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1350 Central Ave Ste 204, Los Alamos, New Mexico |
| Authorized Official Name and Position | Casey Cameron Dexter (MEMBER, THERAPIST) |
| Authorized Official Contact | 5209096264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alder And Oak Counseling Llc 3600 Cerrillos Rd Ste 307 Santa Fe NM 87507-2694 Ph: (520) 909-6264 | Alder And Oak Counseling Llc 1350 Central Ave Ste 204 Los Alamos NM 87544-6218 Ph: (520) 909-6264 |
| NPI Number | 1790330207 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 08/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790330207 | NPI | - | NPPES |
| 13726731 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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