Organization
ALDER AND OAK COUNSELING LLC
Active
Parent organization
ALDER AND OAK COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALDER AND OAK COUNSELING LLC
Authorized official
CASEY CAMERON DEXTER LCSW (MEMBER, THERAPIST)
(520) 909-6264
Entity
Organization
Contact information
Practice address
1350 CENTRAL AVE STE 204, LOS ALAMOS, NM 87544-6218
(520) 909-6264
Mailing address
3600 CERRILLOS RD STE 307, SANTA FE, NM 87507-2694
(520) 909-6264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13726731
—
NM
Enumeration date
08/02/2019
Last updated
08/02/2019
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