Organization
COMMON GROUND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN THOMAS LPCC (CO-OWNER)
(575) 224-1311
Entity
Organization
Contact information
Practice address
405 TEWA ST, TAOS, NM 87571
(575) 224-1311
Mailing address
PO BOX 33, TAOS, NM 87571-0033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000001147
NM
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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