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Organization
INDIGO PSYCHOTHERAPY, LLC
Active
Organization
INDIGO PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE LOUISE THOMAS JONES LPCC (THERAPIST/MANAGER)
(505) 315-0042
Entity
Organization
Contact information
Practice address
6701 KIOWA AVE NE, ALBUQUERQUE, NM 87110-2144
(505) 315-0042
Mailing address
6701 KIOWA AVE NE, ALBUQUERQUE, NM 87110-2144
(505) 315-0042
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07055269
—
NM
Enumeration date
08/12/2020
Last updated
08/12/2020
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