Organization
SANTA FE INDIAN SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN ELMALEH (GUIDANCE PROG. SUPERVISOR/THERAPIST)
(505) 216-7493
Entity
Organization
Contact information
Practice address
1501 CERRILLOS RD, SANTA FE, NM 87505-3521
(505) 216-7493
Mailing address
1501 CERRILLOS RD, SANTA FE, NM 87505-3521
(505) 216-7493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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