Organization
RIO GRANDE EMDR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PENN LPCC (OWNER)
(505) 304-9431
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD NE STE 210, ALBUQUERQUE, NM 87110-3569
(505) 304-9431
Mailing address
2900 LOUISIANA BLVD NE STE 210, ALBUQUERQUE, NM 87110-3569
(505) 304-9431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
04/12/2021
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