| Jefferson Montessori Academy | |
|
500 W. Church Street Carlsbad NM 88220 | |
| (575) 234-1703 | |
| (575) 887-9391 |
| Full Name | Jefferson Montessori Academy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 W. Church Street, Carlsbad, New Mexico |
| Authorized Official Name and Position | Kelli M. Barta (HEAD ADMINISTRATOR) |
| Authorized Official Contact | 5752341701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Montessori Academy 500 W. Church Street Carlsbad NM 88220 Ph: (575) 234-1703 | Jefferson Montessori Academy 500 W. Church Street Carlsbad NM 88220 Ph: (575) 234-1703 |
| NPI Number | 1700544020 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700544020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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