Organization
SOMA SAGRADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KING LPCC (OWNER)
(314) 402-9392
Entity
Organization
Contact information
Practice address
1708 ANDERSON PL SE, ALBUQUERQUE, NM 87108-4406
(314) 402-9392
Mailing address
1708 ANDERSON PL SE, ALBUQUERQUE, NM 87108-4406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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