Organization
JADE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE JULIA WOOD LPCC (PARTNER)
(505) 692-9513
Entity
Organization
Contact information
Practice address
1505 15TH ST STE C, LOS ALAMOS, NM 87544-3000
(505) 692-9513
Mailing address
1006 PASEO DE LA CUMA, SANTA FE, NM 87501-1221
(505) 692-9513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0189841
NM
Other
Enumeration date
10/19/2017
Last updated
08/19/2021
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