Organization
SUSAN NELSEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN NELSEN LCSW (OWNER/PROVIDER)
(505) 660-5026
Entity
Organization
Contact information
Practice address
805 EARLY ST, SANTA FE, NM 87505-1607
(505) 490-0339
Mailing address
118 HUDDLESON ST, SANTA FE, NM 87501-1728
(505) 660-5026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802835
—
NM
Enumeration date
04/16/2020
Last updated
04/16/2020
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