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Organization

DESERT THRIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY ALBONICO PHD (OWNER/PSYCHOLOGIST)
(415) 246-8530
Entity
Organization

Contact information

Practice address
36 SIERRA BLANCA, CEDAR CREST, NM 87008-9445
(415) 246-8530
Mailing address
36 SIERRA BLANCA, CEDAR CREST, NM 87008-9445
(415) 246-8530

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/12/2025
Last updated
02/14/2025
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