Organization
VISTA CLARA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SADIE LOMBARDI MS, LPCC (OWNER/MANAGER)
(505) 433-8822
Entity
Organization
Contact information
Practice address
2005 RT 66 W, SUITE F, MORIARTY, NM 87035
(505) 433-8822
Mailing address
PO BOX 2732, MORIARTY, NM 87035-2732
(505) 433-8822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77179579
—
NM
Enumeration date
08/02/2021
Last updated
08/02/2021
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