| Obsidian Psychotherapy, Llc | |
|
1482 S Saint Francis Dr Ste B Santa Fe NM 87505-4098 | |
| (505) 927-9169 | |
| Not Available |
| Full Name | Obsidian Psychotherapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1482 S Saint Francis Dr Ste B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Leland Guthrie (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5059279169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obsidian Psychotherapy, Llc 12b Eckards Way Espanola NM 87532-9878 Ph: () - | Obsidian Psychotherapy, Llc 1482 S Saint Francis Dr Ste B Santa Fe NM 87505-4098 Ph: (505) 927-9169 |
| NPI Number | 1063145738 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063145738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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