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Organization
PASTORAL COUNSELING CENTER
Active
Organization
PASTORAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P DENNEDY-FRANK PH.D. (EXECUTIVE DIRECTOR)
(505) 988-4131
Entity
Organization
Contact information
Practice address
1533 S SAINT FRANCIS DR, SUITE E, SANTA FE, NM 87505-4032
(505) 988-4131
(505) 992-6145
Mailing address
1533 S SAINT FRANCIS DR, SUITE E, SANTA FE, NM 87505-4032
(505) 988-4131
(505) 992-6145
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
39994
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A 1096
—
NM
Enumeration date
08/01/2006
Last updated
08/22/2020
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