Organization
GABRIELLE VIETHEN, MA MFA AWARE LLC
Active
Other names
Aware Awake Alive
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE VIETHEN MA, LMFT (OWNER)
(505) 988-1431
Entity
Organization
Contact information
Practice address
2074 GALISTEO ST STE B5, SANTA FE, NM 87505-2157
(505) 988-1431
Mailing address
16 SADDLE RD, SANTA FE, NM 87508-9398
(505) 988-1431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0708
NM
Other
Enumeration date
05/15/2015
Last updated
12/04/2015
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