Organization
COUNSELING AND PSYCHOTHERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E WELLS LPCC (CLINICAL DIRECTOR)
(505) 243-2223
Entity
Organization
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
PO BOX 7065, ALBUQUERQUE, NM 87194-7065
(505) 243-2223
(505) 243-3576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM600145
—
NM
Enumeration date
12/20/2006
Last updated
08/22/2020
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