Organization
KIDS COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREENA TAFOYA (CEO / OWNER)
(575) 642-8046
Entity
Organization
Contact information
Practice address
291 STATE HIGHWAY 434, MORA, NM 87732-0291
(575) 642-8046
Mailing address
PO BOX 84, MORA, NM 87732-0084
(575) 642-8046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05483
NM
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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