| Kumara Hampton Therapy, Llc | |
|
11 Calle Medico Suite 4 Santa Fe NM 87505 | |
| (505) 903-8617 | |
| Not Available |
| Full Name | Kumara Hampton Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11 Calle Medico Suite 4, Santa Fe, New Mexico |
| Authorized Official Name and Position | Kumara Elias Hampton (OWNER) |
| Authorized Official Contact | 5059038617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumara Hampton Therapy, Llc 1943 San Ildefonso Santa Fe NM 87505 Ph: (505) 903-8617 | Kumara Hampton Therapy, Llc 11 Calle Medico Suite 4 Santa Fe NM 87505 Ph: (505) 903-8617 |
| NPI Number | 1114574217 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114574217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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