Organization
SOPHIA LAURITSEN LPCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA LAURITSEN LPCC (OWNER / SOLE PRACTIONER)
(505) 629-7225
Entity
Organization
Contact information
Practice address
805 EARLY ST STE 2, SANTA FE, NM 87505-1607
(505) 629-7225
Mailing address
2 COYOTE LOCO RD, SANTA FE, NM 87508-6664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0144901
NM
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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