Organization
SOUL THREADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LLANI MARIE MRAZ LPCC (OWNER)
(505) 819-9434
Entity
Organization
Contact information
Practice address
2074 GALISTEO ST, B-3 SUITE 1, SANTA FE, NM 87505
(505) 819-9434
(505) 757-3413
Mailing address
P O BOX 722, SANTA FE, NM 87504-0722
(505) 819-9434
(505) 757-3413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0120591
NM
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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