Organization
COTTONTREE CENTER
Active
Other names
Cottonwood Therapy Associate
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE GIAQUINTO LPCC (DIRECTOR)
(505) 662-1419
Entity
Organization
Contact information
Practice address
190 CENTRAL PARK SQ, SUITE 105, LOS ALAMOS, NM 87544-4001
(505) 662-1419
(505) 672-1739
Mailing address
190 CENTRAL PARK SQ, SUITE 105, LOS ALAMOS, NM 87544-4001
(505) 662-1419
(505) 672-1739
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
200110082
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B9545
—
NM
Enumeration date
12/27/2005
Last updated
03/25/2009
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