Organization
NORTH STAR COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEASA MEDINA LCSW (OWNER)
(505) 515-5028
Entity
Organization
Contact information
Practice address
2 VALENCIA LOOP, SANTA FE, NM 87508-8887
(505) 515-5028
Mailing address
7 AVENIDA VISTA GRANDE STE B7, #211, SANTA FE, NM 87508-9207
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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