Organization
NEW MEXICO COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE S SOUZA LMFT (OWNER, MARRIAGE AND FAMILY THERAPIS)
(505) 385-0439
Entity
Organization
Contact information
Practice address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 385-0439
Mailing address
4605 5TH ST NW, ALBUQUERQUE, NM 87107-3723
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
014541
NM
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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