| Divine Essence Therapy | |
|
5b Rudy Rodriquez Dr Santa Fe NM 87508-9220 | |
| (505) 500-4988 | |
| Not Available |
| Full Name | Divine Essence Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5b Rudy Rodriquez Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Sara Johnson (OWNER) |
| Authorized Official Contact | 5055004988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Essence Therapy 1704 Llano St Ste B-1486 Santa Fe NM 87505-5415 Ph: () - | Divine Essence Therapy 5b Rudy Rodriquez Dr Santa Fe NM 87508-9220 Ph: (505) 500-4988 |
| NPI Number | 1417711961 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417711961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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