Organization
SYNAPSE INTEGRATED PSYCHOLOGY, LLC
Active
Organization
SYNAPSE INTEGRATED PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA MARIE STRAVERS LLPC, LPC (MEMBER/ OWNER)
(616) 502-9681
Entity
Organization
Contact information
Practice address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 397-7197
Mailing address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 488-2807
(844) 502-0999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/17/2021
Last updated
06/14/2021
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