Organization
LIGHT ON LIFE COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN I PATTERSON (OWNER)
(860) 227-9264
Entity
Organization
Contact information
Practice address
1210 LUISA ST STE 5, SANTA FE, NM 87505-4175
(505) 469-5577
Mailing address
123 MESA VERDE ST, SANTA FE, NM 87501-1729
(860) 227-9264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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