| Santa Fe Dialectical Behavior Therapy, Llc | |
|
411 Saint Michaels Dr Suite 2 Santa Fe NM 87505-7655 | |
| (505) 983-8502 | |
| Not Available |
| Full Name | Santa Fe Dialectical Behavior Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 411 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Jill M Tiedemann (TEAM LEADER) |
| Authorized Official Contact | 5059838502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Dialectical Behavior Therapy, Llc 411 Saint Michaels Dr Suite 2 Santa Fe NM 87505-7655 Ph: (505) 983-8502 | Santa Fe Dialectical Behavior Therapy, Llc 411 Saint Michaels Dr Suite 2 Santa Fe NM 87505-7655 Ph: (505) 983-8502 |
| NPI Number | 1023355252 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023355252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
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