| Northern New Mexico Counseling Services, L.l.c. | |
|
555 Oppenheimer Dr Suite 200 Los Alamos NM 87544-2384 | |
| (505) 660-5726 | |
| Not Available |
| Full Name | Northern New Mexico Counseling Services, L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 Oppenheimer Dr, Los Alamos, New Mexico |
| Authorized Official Name and Position | Miriam Thorp (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5056605726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern New Mexico Counseling Services, L.l.c. 555 Oppenheimer Dr Suite 200 Los Alamos NM 87544-2384 Ph: (505) 660-5726 | Northern New Mexico Counseling Services, L.l.c. 555 Oppenheimer Dr Suite 200 Los Alamos NM 87544-2384 Ph: (505) 660-5726 |
| NPI Number | 1699012245 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 07/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699012245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-04885 (New Mexico) | Primary |
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