| Susan Nelsen Counseling Llc | |
|
805 Early St Santa Fe NM 87505-1607 | |
| (505) 490-0339 | |
| Not Available |
| Full Name | Susan Nelsen Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 805 Early St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Susan Nelsen (OWNER/PROVIDER) |
| Authorized Official Contact | 5056605026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Nelsen Counseling Llc 118 Huddleson St Santa Fe NM 87501-1728 Ph: (505) 660-5026 | Susan Nelsen Counseling Llc 805 Early St Santa Fe NM 87505-1607 Ph: (505) 490-0339 |
| NPI Number | 1124648407 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Medicare PECOS PAC ID | 1951732593 |
|---|---|
| Medicare Enrollment ID | O20200514000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124648407 | NPI | - | NPPES |
| 8802835 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susan Nelsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720394232 PECOS PAC ID: 5193902344 Enrollment ID: I20110615000687 |
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