Organization
LA LUZ MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTYN M SMALL LPCC (OWNER)
(505) 321-8205
Entity
Organization
Contact information
Practice address
4245 JUAN TABO BLVD NE, SUITE 220, ALBUQUERQUE, NM 87110-8712
(505) 321-8205
Mailing address
4801 LANG AVE NE STE 110, ALBUQUERQUE, NM 87109-4475
(505) 321-8205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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