Organization
COKATA LTD. LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LEE ANDES LPC (CO-MANAGER)
(505) 438-9592
Entity
Organization
Contact information
Practice address
138 RIDGECREST DR, SANTA FE, NM 87505-6343
(505) 471-9154
(505) 438-9592
Mailing address
138 RIDGECREST DR, SANTA FE, NM 87505-6343
(505) 471-9154
(505) 438-9592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0915
NM
Other
Enumeration date
05/05/2007
Last updated
08/22/2020
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