Organization
ETERNAL LIGHT COUNSELING LLC
Active
Other names
Eternal Light Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIJANA WOLFGANG LCSW (OWNER/CLINICAL SOCIAL WORKER)
(505) 206-1430
Entity
Organization
Contact information
Practice address
1867 GEORGIA ST NE, ALBUQUERQUE, NM 87110-5902
(505) 206-1430
Mailing address
1867 GEORGIA ST NE, ALBUQUERQUE, NM 87110-5902
(505) 206-1430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
12/13/2024
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