Organization
COMMUNITY SERVICES TRAINING INSTITUTE OF NEW MEXICO
Active
Other names
Counseling & Psychotherapy Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WELLS PH.D (CLINICAL DIRECTOR)
(505) 243-2223
Entity
Organization
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
(505) 243-3576
Mailing address
PO BOX 7065, ALBUQUERQUE, NM 87194-7065
(505) 243-2223
(505) 243-3576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35370025
—
NM
01
—
NM600145
VALUE OPTIONS NM ID
NM
Enumeration date
05/25/2007
Last updated
06/20/2008
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