Organization
ESSENCE OF LIFE THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE A GONZALES LCSW (OWNER)
(505) 259-9407
Entity
Organization
Contact information
Practice address
16 CRESENCIANO RD, TIJERAS, NM 87059
(505) 259-9407
Mailing address
PO BOX 1268, TIJERAS, NM 87059-1268
(505) 259-9407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
07/21/2024
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