Sophia Lauritsen Lpcc | |
805 Early St Ste 2 Santa Fe NM 87505-1607 | |
(505) 629-7225 | |
Not Available |
Full Name | Sophia Lauritsen Lpcc |
---|---|
Speciality | Counselor - Professional |
Location | 805 Early St Ste 2, Santa Fe, New Mexico |
Authorized Official Name and Position | Sophia Lauritsen (OWNER / SOLE PRACTIONER) |
Authorized Official Contact | 5056297225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sophia Lauritsen Lpcc 2 Coyote Loco Rd Santa Fe NM 87508-6664 Ph: () - | Sophia Lauritsen Lpcc 805 Early St Ste 2 Santa Fe NM 87505-1607 Ph: (505) 629-7225 |
NPI Number | 1699278655 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 03/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699278655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0144901 (New Mexico) | Primary |
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