Organization
CHRYSALIS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANNETTE BROOKS LPCC (OWNER)
(505) 550-9536
Entity
Organization
Contact information
Practice address
808 MANZANO ST NE, ALBUQUERQUE, NM 87110-6306
(505) 550-9536
Mailing address
808 MANZANO ST NE, ALBUQUERQUE, NM 87110-6306
(505) 550-9536
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0133481
NM
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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