Organization
SOUTHWEST PSYCHOTHERAPY, INC
Active
Other names
Susan Lane LPCC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LANE LPCC (PRESIDENT)
(505) 830-1200
Entity
Organization
Contact information
Practice address
4810 HARDWARE DR NE, SUITE 5, ALBUQUERQUE, NM 87109
(505) 830-1200
(505) 830-1203
Mailing address
560 BERRY RD NW, ALBUQUERQUE, NM 87107
(505) 830-1200
(505) 830-1203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
05/04/2016
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