Organization
XOCHIHUAN TRADITIONAL HEALING AND PSYCHOTHERAPHY, LLC
Active
Organization
XOCHIHUAN TRADITIONAL HEALING AND PSYCHOTHERAPHY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSA P JONES LCSW (OWNER)
(505) 450-6690
Entity
Organization
Contact information
Practice address
1006 JANE ST NE, ALBUQUERQUE, NM 87112-5612
(505) 485-3060
Mailing address
1006 JANE ST NE, ALBUQUERQUE, NM 87112-5612
(505) 485-3060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27174751
—
NM
Enumeration date
07/08/2019
Last updated
03/30/2020
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