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Organization
CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO
Active
Organization
CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BIENVENU MA, LPCC (FOUNDER)
(505) 316-1182
Entity
Organization
Contact information
Practice address
1400 MACLOVIA ST STE 1, SANTA FE, NM 87505-3253
(505) 772-0459
Mailing address
534 JUNIPER DR, SANTA FE, NM 87501-1324
(505) 316-1182
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/09/2019
Last updated
12/02/2019
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