Organization
INTEGRATE WELLNESS CENTER LLC
Active
Organization
INTEGRATE WELLNESS CENTER LLC
Active
Other names
Integrate Wellness Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DIESEL LCSW (PSYCHOTHERAPIST)
(505) 600-2314
Entity
Organization
Contact information
Practice address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(505) 600-2314
(866) 635-1177
Mailing address
PO BOX 36072, ALBUQUERQUE, NM 87176-6072
(505) 600-2314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
12/20/2023
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