Organization
OBSIDIAN PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND GUTHRIE PHD (CLINICAL PSYCHOLOGIST)
(505) 927-9169
Entity
Organization
Contact information
Practice address
1482 S SAINT FRANCIS DR STE B, SANTA FE, NM 87505-4098
(505) 927-9169
Mailing address
12B ECKARDS WAY, ESPANOLA, NM 87532-9878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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