Organization
ST. MARTIN'S HOSPITALITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE SHARON PALMA MA,MS, LPCC (PSYCHOTHERAPIST)
(505) 249-5046
Entity
Organization
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Mailing address
7 OSO PL, JEMEZ SPRINGS, NM 87025-9043
(505) 249-5046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0814
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0814
PSYCHOTHERAPY LICENSE
NM
Enumeration date
04/12/2007
Last updated
08/22/2020
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