Organization
AGAVE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH COLSON (OWNER)
(505) 421-5325
Entity
Organization
Contact information
Practice address
7 AVENIDA VISTA GRANDE, SANTA FE, NM 87508-9198
(505) 421-5325
Mailing address
7 AVENIDA VISTA GRANDE, SANTA FE, NM 87508-9198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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