Organization
RECOVERY WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN K RUSSO L.P.C.C. (EXECUTIVE DIRECTOR)
(505) 737-9151
Entity
Organization
Contact information
Practice address
36 STATE RD. 522 #6, EL PRADO, NM 87529
(505) 737-9151
(505) 751-0846
Mailing address
PO BOX 3118, TAOS, NM 87571-3118
(505) 737-9151
(505) 751-0846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0088901
NM
Other
Enumeration date
03/13/2007
Last updated
08/02/2007
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