Organization
BRAIN INJURY SERVICES OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN WOLF LPCC (DIRECTOR)
(505) 989-1640
Entity
Organization
Contact information
Practice address
1115 N LUNA CIR, SANTA FE, NM 87501-1656
(505) 989-1640
(505) 989-1640
Mailing address
1115 N LUNA CIR, SANTA FE, NM 87501-1656
(505) 989-1640
(505) 989-1640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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