Organization
SANTA FE INTEGRATIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA TSYCONYEA SIMMONS LMHC, ATR-P,LMT,CCHT (PRESIDENT)
(928) 202-8173
Entity
Organization
Contact information
Practice address
1640 CALLE MEDICO SUITE E, SANTA FE, NM 87505-4777
(928) 202-8173
Mailing address
1640 OLD PECOS TRL STE E, SANTA FE, NM 87505-4777
(928) 202-8173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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