| Susan Harris Lpcc, Llc | |
|
2019 Galisteo St Suite N-2 Santa Fe NM 87505-2143 | |
| (505) 603-0393 | |
| Not Available |
| Full Name | Susan Harris Lpcc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2019 Galisteo St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Susan Nagle Harris (OWNER) |
| Authorized Official Contact | 5056030393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Harris Lpcc, Llc 3317 La Avenida De San Marcos Santa Fe NM 87507-0410 Ph: (505) 603-0393 | Susan Harris Lpcc, Llc 2019 Galisteo St Suite N-2 Santa Fe NM 87505-2143 Ph: (505) 603-0393 |
| NPI Number | 1487087581 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487087581 | NPI | - | NPPES |
| 29885566 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0080601 (New Mexico) | Primary |
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