| True North Healing And Therapy Llc | |
|
140 Camino Del Medio San Cristobal NM 87564 | |
| (832) 609-9113 | |
| Not Available |
| Full Name | True North Healing And Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 140 Camino Del Medio, San Cristobal, New Mexico |
| Authorized Official Name and Position | Dustin Brock Anderson (OWNER) |
| Authorized Official Contact | 8326099113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True North Healing And Therapy Llc Po Box 196 San Cristobal NM 87564-0195 Ph: (832) 609-9113 | True North Healing And Therapy Llc 140 Camino Del Medio San Cristobal NM 87564 Ph: (832) 609-9113 |
| NPI Number | 1427731652 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 4789037185 |
|---|---|
| Medicare Enrollment ID | O20240201003034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427731652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dustin B. Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235757451 PECOS PAC ID: 9739539156 Enrollment ID: I20240226000893 |
Kiersten Figurski Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 57 Camino Del Medio, San Cristobal, NM 87564 Phone: 575-770-5680 |