Organization
INNER HEALING COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE GONZALES LCSW (OWNER)
(505) 886-1070
Entity
Organization
Contact information
Practice address
7400 HANCOCK CT NE STE A, ALBUQUERQUE, NM 87109-4592
(505) 886-1070
(505) 221-5215
Mailing address
PO BOX 44656, RIO RANCHO, NM 87174-4656
(505) 206-1109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08897
NM
Other
Enumeration date
04/08/2018
Last updated
02/27/2019
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