Organization
BODY-CENTERED PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA C SIMMONS MA, LPCC (INITIAL REGISTERED AGENT)
(575) 613-2047
Entity
Organization
Contact information
Practice address
1472 1/2 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(575) 613-2047
Mailing address
1726 CAMINO DE LA VUELTA, SANTA FE, NM 87501-2369
(575) 613-2047
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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