Organization
FA'AKASI FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSI MEREDITH LCSW (SOCIAL WORKER)
(480) 209-9698
Entity
Organization
Contact information
Practice address
1553 AVENIDA DE QUINTAS, LAS CRUCES, NM 88005-3506
(480) 209-9698
Mailing address
1553 AVENIDA DE QUINTAS, LAS CRUCES, NM 88005-3506
(480) 209-9698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235510397
—
NM
Enumeration date
05/09/2022
Last updated
05/09/2022
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