| Alder And Oak Counseling | |
|
3600 Cerrillos Rd Ste 303 Santa Fe NM 87507-2694 | |
| (505) 257-8554 | |
| Not Available |
| Full Name | Alder And Oak Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 3600 Cerrillos Rd Ste 303, Santa Fe, New Mexico |
| Authorized Official Name and Position | Casey Cameron Dexter (MEMBER, THERAPIST) |
| Authorized Official Contact | 5052578554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alder And Oak Counseling 3600 Cerrillos Rd St 303 Santa Fe NM 87507-2612 Ph: (505) 257-8554 | Alder And Oak Counseling 3600 Cerrillos Rd Ste 303 Santa Fe NM 87507-2694 Ph: (505) 257-8554 |
| NPI Number | 1144787581 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 1850628777 |
|---|---|
| Medicare Enrollment ID | O20190814003067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144787581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Casey C Dexter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497110480 PECOS PAC ID: 3870830532 Enrollment ID: I20190910000742 |
| Provider Name | Vanessa Lynn Torres Mcgovern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023544061 PECOS PAC ID: 9234580671 Enrollment ID: I20240110000568 |
| Provider Name | Diana Catharine Zumas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972740231 PECOS PAC ID: 7113256678 Enrollment ID: I20240117001193 |
| Provider Name | Josephine Tejal Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922491174 PECOS PAC ID: 6800248832 Enrollment ID: I20240118002951 |
| Provider Name | Lori A Padilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053796953 PECOS PAC ID: 9739532417 Enrollment ID: I20240130000200 |
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