Organization
AFFECTIVE THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE LYNN GONZALES LISW (OWNER/THERAPIST)
(505) 264-1698
Entity
Organization
Contact information
Practice address
1005 21ST ST SE, SUITE 11, RIO RANCHO, NM 87124-4030
(505) 264-1698
(505) 359-3243
Mailing address
1005 21ST ST SE, SUITE 11, RIO RANCHO, NM 87124-4030
(505) 264-1698
(505) 359-3243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07502
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29283396
—
NM
Enumeration date
04/21/2014
Last updated
04/21/2014
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