Organization
THE GLOAMING AT SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE JOYCE CASQUARELLI M.ED., ED.S, LMHC (CO-OWNER & PROFESSIONAL COUNSELOR)
(505) 930-5001
Entity
Organization
Contact information
Practice address
3 CALIENTE RD, SUITE 6, SANTA FE, NM 87508-9209
(505) 930-5001
Mailing address
3 CALIENTE RD, SUITE 6, SANTA FE, NM 87508-9209
(505) 930-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0168171
NM
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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