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Organization
MICAH BIRDSHIRE LLC
Active
Organization
MICAH BIRDSHIRE LLC
Active
Other names
Cottonwood Canyon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH BIRDSHIRE MA, LPC (OWNER)
(303) 919-5700
Entity
Organization
Contact information
Practice address
14 VISTA PRECIOSO, SANTA FE, NM 87507-3450
(505) 226-2022
Mailing address
1704 LLANO ST STE B-1412, SANTA FE, NM 87505-5415
(505) 226-2202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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