Organization
CORRALES THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD VAGLIO (OWNER)
(505) 280-5834
Entity
Organization
Contact information
Practice address
673 PERFECTO LOPEZ RD, CORRALES, NM 87048-5101
(505) 280-5834
Mailing address
673 PERFECTO LOPEZ RD, CORRALES, NM 87048-5101
(505) 280-5834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
05/30/2024
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