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Organization

HIDDEN VALLEY COUNSELING LLC

Active
Other names
Larissa Weinman
Organization subpart
No

Provider details

NPI number
Authorized official
LARISSA MARI WEINMAN LPCC (THERAPIST/COUNSELOR)
(575) 779-1484
Entity
Organization

Contact information

Practice address
25 WAPITI LOOP VALLE ESCONDIDO, TAOS, NM 87571
(575) 779-1484
Mailing address
PO BOX 3139, TAOS, NM 87571-3139
(575) 779-1484

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
75421062
NM
Enumeration date
08/23/2022
Last updated
08/23/2022
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