Organization
NIZHONI COUNSELING
Active
Organization
NIZHONI COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUTUMN J DRAGS WOLF LCSW (PRESIDENT)
(505) 715-9673
Entity
Organization
Contact information
Practice address
11005 SPAIN RD NE STE 15, ALBUQUERQUE, NM 87111-1871
(505) 715-9673
Mailing address
2920 CARLISLE BLVD NE STE 106, ALBUQUERQUE, NM 87110-2855
(505) 715-9673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/13/2019
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