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Organization
REVOLUTIONARY THERAPY LLC
Active
Organization
REVOLUTIONARY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE MARTINEZ LPCC (OWNER)
(212) 203-6308
Entity
Organization
Contact information
Practice address
304 HOMELAND RD NW, ALBUQUERQUE, NM 87114-1614
(212) 203-6308
Mailing address
304 HOMELAND RD NW, ALBUQUERQUE, NM 87114-1614
(212) 203-6308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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