Organization
SEED TO TREE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DYLAN OTTEMILLER DRUSEDUM LPCC (OWNER)
(717) 495-9004
Entity
Organization
Contact information
Practice address
104 SERENITY HILLS PL SE, ALBUQUERQUE, NM 87123-3970
(717) 495-9004
Mailing address
104 SERENITY HILLS PL SE, ALBUQUERQUE, NM 87123-3970
(717) 495-9004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34253858
—
NM
Enumeration date
02/14/2019
Last updated
02/14/2019
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