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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