Organization
NORTHERN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MOELLER (OWNER)
(505) 670-8846
Entity
Organization
Contact information
Practice address
2215 RANCHO SIRINGO RD UNIT 1, SANTA FE, NM 87505-5530
(505) 670-8846
Mailing address
2215 RANCHO SIRINGO RD UNIT 1, SANTA FE, NM 87505-5530
(505) 670-8846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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