Organization
NEW MOON THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MAREE STANLEY LCSW (FOUNDER)
(505) 600-1139
Entity
Organization
Contact information
Practice address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(505) 629-5674
Mailing address
PO BOX 9222, ALBUQUERQUE, NM 87119-9222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/28/2023
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