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Organization

SUN MOUNTAIN COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN KLEHN LCSW/LADAC (OWNER/THERAPIST)
(505) 438-1853
Entity
Organization

Contact information

Practice address
1911 5TH ST STE 210, SANTA FE, NM 87505-5403
(505) 438-1853
(505) 438-2475
Mailing address
PO BOX 2635, SANTA FE, NM 87504-2635
(505) 438-1853
(505) 438-2475

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-04823
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316100274
NPI
NM
Enumeration date
05/25/2017
Last updated
05/25/2017
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