Organization
OPEN ACCESS VIDEO COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALIE DERYAN (CO-OWNER)
(505) 301-3408
Entity
Organization
Contact information
Practice address
2074 GALISTEO ST STE B4, SANTA FE, NM 87505-2157
(505) 301-3408
(866) 593-5859
Mailing address
3005 S SAINT FRANCIS DR STE 1D, SANTA FE, NM 87505-7004
(505) 301-3408
(866) 593-5859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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