Organization
ZIA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CAROLINA FAIT MA, LPCC (OWNER)
(505) 219-1421
Entity
Organization
Contact information
Practice address
1505 15TH ST STE A6, LOS ALAMOS, NM 87544-3000
(505) 219-1421
Mailing address
PO BOX 426, LOS ALAMOS, NM 87544-0426
(505) 219-1421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44437030
—
NM
Enumeration date
05/26/2021
Last updated
05/26/2021
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