Organization
TRUE SELF LLC
Active
Other names
True Self Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE RUSSELL THORNBERRY LCSW (CEO / OWNER / CLINICIAN)
(505) 379-3703
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD. NE, SUITE J-1, ALBUQUERQUE, NM 87110-3532
(505) 639-5772
(505) 639-5780
Mailing address
2900 LOUISIANA BLVD. NE, SUITE J-1, ALBUQUERQUE, NM 87110-3532
(505) 639-5772
(505) 639-5772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I06618
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45104336
—
NM
Enumeration date
03/10/2009
Last updated
05/19/2021
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