Organization
CREATIVE COUNSELING & CONSULTING INC.
Active
Organization
CREATIVE COUNSELING & CONSULTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE SOTO PH.D. (PRESIDENT)
(505) 323-9004
Entity
Organization
Contact information
Practice address
11000 SPAIN RD NE, BLDG E, ALBUQUERQUE, NM 87111-1883
(505) 323-9004
(505) 323-9004
Mailing address
PO BOX 14926, ALBUQUERQUE, NM 87191-4926
(505) 323-9004
(505) 323-9004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0893
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08387559
—
NM
Enumeration date
02/13/2007
Last updated
08/03/2011
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