Organization
EARTH AND SKY PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY FOSSUM LPCC (OWNER & PSYCHOTHERAPIST)
(206) 851-2082
Entity
Organization
Contact information
Practice address
1532 CERRILLOS RD # C1, SANTA FE, NM 87505-3512
(206) 851-2082
Mailing address
1532 CERRILLOS RD # C1, SANTA FE, NM 87505-3512
(206) 851-2082
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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