Organization
GREEN CLIFF COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WAGNER LCSW (OWNER/CLINICAL SOCIAL WORKER)
(202) 770-7064
Entity
Organization
Contact information
Practice address
1012 MARQUEZ PL UNIT 211, SANTA FE, NM 87505-1834
(202) 770-7064
Mailing address
1000 CORDOVA PL, SANTA FE, NM 87505-1725
(202) 770-7064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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