| Carrie T. Ishee | |
|
1519 Upper Canyon Rd Santa Fe NM 87501-6135 | |
| (505) 670-0686 | |
| Not Available |
| Full Name | Carrie T. Ishee |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1519 Upper Canyon Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Carrie Tansey Ishee (OWNER/PRESIDENT) |
| Authorized Official Contact | 5056700686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie T. Ishee 18 Enebro Rd Santa Fe NM 87508-8838 Ph: (505) 670-0686 | Carrie T. Ishee 1519 Upper Canyon Rd Santa Fe NM 87501-6135 Ph: (505) 670-0686 |
| NPI Number | 1003212523 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003212523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0170311 (New Mexico) | Primary |
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