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1925 Aspen Dr Ste 302a Santa Fe NM 87505-5588 | |
| (505) 720-9167 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1925 Aspen Dr Ste 302a, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lisa A Celosse (LPCC. LMFT) |
| Authorized Official Contact | 5057209167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 250 Chimayo NM 87522-0250 Ph: (505) 720-9167 | 1925 Aspen Dr Ste 302a Santa Fe NM 87505-5588 Ph: (505) 720-9167 |
| NPI Number | 1497058184 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497058184 | NPI | - | NPPES |
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