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Organization

DIGITAL CARE TEAM OF NM LLC

Active
Other names
247 DCT
Organization subpart
No

Provider details

NPI number
Authorized official
WAJAHATUDDIN MACCI (CFO)
(773) 817-5928
Entity
Organization

Contact information

Practice address
1836B CERRILLOS RD # 1A, SANTA FE, NM 87505-3576
(773) 817-5928
Mailing address
343 N WOOD DALE RD # 201A, WOOD DALE, IL 60191-1578

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/09/2023
Last updated
01/10/2023
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