Organization
THE CENTRE FOR PERFORMANCE, ART, AND CULTURE MEDICINE
Active
Other names
The Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE MALONE PH.D., (DIRECTOR)
(575) 758-1565
Entity
Organization
Contact information
Practice address
209 LAS CRUCES RD, TAOS, NM 87571-6577
(575) 758-1565
Mailing address
PO BOX 2070, TAOS, NM 87571-2070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
91921
NM
106H00000X
Marriage & Family Therapist
43969
CA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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