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5210 Via Del Valle Santa Fe NM 87507-3652 | |
| (216) 470-2991 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5210 Via Del Valle, Santa Fe, New Mexico |
| Authorized Official Name and Position | Katie Monroe (OWNER) |
| Authorized Official Contact | 2164702991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5210 Via Del Valle Santa Fe NM 87507-3652 Ph: () - | 5210 Via Del Valle Santa Fe NM 87507-3652 Ph: (216) 470-2991 |
| NPI Number | 1598370116 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598370116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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