Organization
REVIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ROMERO (THERAPIST)
(505) 720-6624
Entity
Organization
Contact information
Practice address
9400 HOLLY AVE NE BLDG 4, ALBUQUERQUE, NM 87122-2969
(505) 720-6624
Mailing address
8409 JOSEPH SHARP ST NE, ALBUQUERQUE, NM 87122-2810
(505) 720-6624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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