Organization
TURQUOISE TRAIL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY KOLB LPCC (OWNER)
(575) 202-6030
Entity
Organization
Contact information
Practice address
12165 STATE HIGHWAY 14 N STE B7, CEDAR CREST, NM 87008-9538
(575) 202-6030
Mailing address
PO BOX 86, SANDIA PARK, NM 87047-0086
(575) 202-6030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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