Organization
HOUSE OF THE SACRED JOURNEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA D RODRIGUEZ LPCC, LSP,LED (PRESIDENT)
(505) 429-3980
Entity
Organization
Contact information
Practice address
1920 7TH ST, LAS VEGAS, NM 87701-4956
(505) 429-3980
Mailing address
1920 7TH ST, LAS VEGAS, NM 87701-4956
(505) 429-3980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/28/2020
Last updated
01/09/2025
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