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Organization

FIREWEED THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LUCAS PEISER (OWNER)
(206) 603-6500
Entity
Organization

Contact information

Practice address
2501 RIO GRANDE BLVD NW STE A, ALBUQUERQUE, NM 87104-3233
(206) 603-6500
Mailing address
2501 RIO GRANDE BLVD NW STE A, ALBUQUERQUE, NM 87104-3233

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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