| Storyranch Llc | |
|
1300 Mineral Hill Las Vegas NM 87701 | |
| (505) 425-5578 | |
| Not Available |
| Full Name | Storyranch Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1300 Mineral Hill, Las Vegas, New Mexico |
| Authorized Official Name and Position | John James Mcleod (PARTNER) |
| Authorized Official Contact | 5054255578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Storyranch Llc 1300 Mineral Hill Las Vegas NM 87701 Ph: (505) 425-5578 | Storyranch Llc 1300 Mineral Hill Las Vegas NM 87701 Ph: (505) 425-5578 |
| NPI Number | 1215223375 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215223375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1590 (New Mexico) | Primary |
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