Organization
CORAZON COUNSELING AND CONSULTING LLC
Active
Other names
Corazon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA DENISE ORTIZ (OWNER/ADMINISTRATOR)
(505) 363-7495
Entity
Organization
Contact information
Practice address
6212 CASA BLANCA NW, ALBUQUERQUE, NM 87120-3190
(505) 363-7495
Mailing address
6212 CASA BLANCA NW, ALBUQUERQUE, NM 87120-3190
(505) 363-7495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87103567
—
NM
Enumeration date
02/17/2022
Last updated
11/27/2023
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