Organization
KUMARA HAMPTON THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUMARA ELIAS HAMPTON MA, LPCC, LADAC (OWNER)
(505) 903-8617
Entity
Organization
Contact information
Practice address
11 CALLE MEDICO SUITE 4, SANTA FE, NM 87505
(505) 903-8617
Mailing address
1943 SAN ILDEFONSO, SANTA FE, NM 87505
(505) 903-8617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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