Organization
TRUE NORTH HEALING AND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN BROCK ANDERSON LCSW (OWNER)
(832) 609-9113
Entity
Organization
Contact information
Practice address
140 CAMINO DEL MEDIO, SAN CRISTOBAL, NM 87564
(832) 609-9113
Mailing address
PO BOX 196, SAN CRISTOBAL, NM 87564-0195
(832) 609-9113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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