| Kids Counseling, Inc | |
|
291 State Highway 434 Mora NM 87732-0291 | |
| (575) 642-8046 | |
| Not Available |
| Full Name | Kids Counseling, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 291 State Highway 434, Mora, New Mexico |
| Authorized Official Name and Position | Breena Tafoya (CEO / OWNER) |
| Authorized Official Contact | 5756428046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Counseling, Inc Po Box 84 Mora NM 87732-0084 Ph: (575) 642-8046 | Kids Counseling, Inc 291 State Highway 434 Mora NM 87732-0291 Ph: (575) 642-8046 |
| NPI Number | 1750715645 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750715645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-05483 (New Mexico) | Primary |
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