Organization
SPRING LAKE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA NAAR LCSW (OWNER)
(505) 433-7364
Entity
Organization
Contact information
Practice address
1318 VITALIA ST, SANTA FE, NM 87505-3224
(505) 433-7364
Mailing address
PO BOX 6308, SANTA FE, NM 87502-6308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861868036
—
NM
Enumeration date
06/29/2021
Last updated
06/29/2021
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