| New Moon Therapy, Llc | |
|
120 Aliso Dr Se Albuquerque NM 87108-2693 | |
| (505) 629-5674 | |
| Not Available |
| Full Name | New Moon Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 Aliso Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennifer Maree Stanley (FOUNDER) |
| Authorized Official Contact | 5056001139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Moon Therapy, Llc Po Box 9222 Albuquerque NM 87119-9222 Ph: () - | New Moon Therapy, Llc 120 Aliso Dr Se Albuquerque NM 87108-2693 Ph: (505) 629-5674 |
| NPI Number | 1912607235 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912607235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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