Organization
LOS ALAMOS FAMILY COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN REDMOND (EXECUTIVE DIRECTOR)
(505) 662-4160
Entity
Organization
Contact information
Practice address
1350 CENTRAL AVE STE 102, LOS ALAMOS, NM 87544-3218
(505) 662-4160
(505) 662-9707
Mailing address
1350 CENTRAL AVE STE 102, LOS ALAMOS, NM 87544-3218
(505) 662-3264
(505) 662-9707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3038
NM
101YM0800X
Mental Health Counselor
Primary
3038
NM
1041C0700X
Clinical Social Worker
3038
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N7745
—
NM
Enumeration date
06/13/2006
Last updated
08/18/2023
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