Organization
GAIA SPIRIT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA D PALMER LCSW (GREATER THAN DIRECT OWNER)
(505) 382-3332
Entity
Organization
Contact information
Practice address
3824 PITT ST NE, ALBUQUERQUE, NM 87111-3519
(505) 382-3332
Mailing address
3824 PITT ST NE, ALBUQUERQUE, NM 87111-3519
(505) 382-3332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/28/2024
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