Organization
BRIDGE COUNSELING
Active
Other names
the Bridge Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SLATER (OWNER)
(575) 799-1691
Entity
Organization
Contact information
Practice address
214 E MAIN ST, TUCUMCARI, NM 88401-2223
(575) 799-1691
Mailing address
255 MAGNOLIA RD, NEWKIRK, NM 88431-9001
(575) 799-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
05/30/2023
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