Organization
BROKEN ARROW COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WILLIAM ROSS LCSW (PRESIDENT)
(505) 818-7934
Entity
Organization
Contact information
Practice address
840 SIMON LN SW, ALBUQUERQUE, NM 87105-5908
(505) 818-7934
Mailing address
4833 MESA PRIETA CT NW, ALBUQUERQUE, NM 87120-4620
(505) 818-7934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/26/2017
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