Organization
HEAD TO TOE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L LEDEZMA-CHINCHILLA LPCC (CLINICAL COUNSELOR)
(505) 417-3824
Entity
Organization
Contact information
Practice address
4619 GREENE AVE, SUITE D, ALBUQUERQUE, NM 87114
(505) 289-0057
Mailing address
PO BOX 67098, ALBUQUERQUE, NM 87193-7098
(505) 417-3824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
03/18/2020
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