Organization
COUNSELING & PSYCHOTHERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN EDUARD WELLS PH.D. (DIRECTOR)
(505) 328-3764
Entity
Organization
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-3333
Mailing address
PO BOX 7065, ALBUQUERQUE, NM 87194-7065
(505) 328-3764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0619341
NM
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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