Organization
PLACES TO GO LLC
Active
Other names
Theresa Kliesen
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA SUSAN KLIESEN-MARAVETZ LPCC (OWNER)
(505) 489-1452
Entity
Organization
Contact information
Practice address
813 GEORGIA ST SE, ALBUQUERQUE, NM 87108-4945
(505) 489-1452
Mailing address
813 GEORGIA ST SE, ALBUQUERQUE, NM 87108-4945
(505) 489-1452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0101591
NM
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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