Organization
STAR MOUNTAIN THERAPY, LLC
Active
Organization
STAR MOUNTAIN THERAPY, LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER MARIE RUBENS LCSW, MPH (LCSW/ THERAPIST)
(213) 284-9005
Entity
Organization
Contact information
Practice address
45 VEREDA CORTA, SANTA FE, NM 87507-9556
(213) 284-9005
Mailing address
45 VEREDA CORTA, SANTA FE, NM 87507-9556
(213) 284-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31121071
—
NM
Enumeration date
06/23/2020
Last updated
05/04/2023
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