Organization
KATRINA BRUNS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELDAWN VEGA (CREDENTIALING)
(505) 289-0047
Entity
Organization
Contact information
Practice address
563 SIERRA DEL SOL AVE, LAS CRUCES, NM 88012
(563) 513-8076
Mailing address
2050 E WISCONSIN AVE APT 937A, LAS CRUCES, NM 88001-5027
(563) 513-8076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
10/05/2023
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