| None | |
|
45 Vereda Corta Santa Fe NM 87507-9556 | |
| (213) 284-9005 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45 Vereda Corta, Santa Fe, New Mexico |
| Authorized Official Name and Position | Heather Marie Rubens (LCSW/ THERAPIST) |
| Authorized Official Contact | 2132849005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 45 Vereda Corta Santa Fe NM 87507-9556 Ph: (213) 284-9005 | None 45 Vereda Corta Santa Fe NM 87507-9556 Ph: (213) 284-9005 |
| NPI Number | 1780200915 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780200915 | NPI | - | NPPES |
| 31121071 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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