Organization
HEAL THE PAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOLNAZ GOLNARI MD, LMFT (CEO)
(619) 306-6979
Entity
Organization
Contact information
Practice address
9108 MERIWETHER AVE NE, ALBUQUERQUE, NM 87109-6416
(619) 306-6979
Mailing address
9108 MERIWETHER AVE NE, ALBUQUERQUE, NM 87109-6416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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