Organization
WINDSONG COUNSELING & CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISSA A MALEY PH.D. (OWNER)
(347) 837-2501
Entity
Organization
Contact information
Practice address
9426 INDIAN SCHOOL RD NE STE 1, ALBUQUERQUE, NM 87112-2887
(505) 345-6100
Mailing address
208 SANGRE DE CRISTO, CEDAR CREST, NM 87008-9525
(347) 837-2501
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1381
NM
103TB0200X
Cognitive & Behavioral Psychologist
1381
NM
103TC0700X
Clinical Psychologist
Primary
1381
NM
103TC2200X
Clinical Child & Adolescent Psychologist
1381
NM
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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