| Tribal Counseling And Wellness Center Llc | |
|
707 N Third St Gallup NM 87301-5239 | |
| (505) 918-7955 | |
| Not Available |
| Full Name | Tribal Counseling And Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 707 N Third St, Gallup, New Mexico |
| Authorized Official Name and Position | Fernando Ortiz (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5757078150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribal Counseling And Wellness Center Llc Po Box 57183 Albuquerque NM 87187-7183 Ph: () - | Tribal Counseling And Wellness Center Llc 707 N Third St Gallup NM 87301-5239 Ph: (505) 918-7955 |
| NPI Number | 1548956907 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548956907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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