Organization
BASKIN PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BASKIN LCSW (OWNER)
(608) 909-1459
Entity
Organization
Contact information
Practice address
405 GREG AVE, SANTA FE, NM 87501-1663
(608) 909-1459
Mailing address
405 GREG AVE, SANTA FE, NM 87501-1663
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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