Organization
LACUNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE RAE CARLTON LPCC, ATR-BC (CEO OF LACUNA)
(505) 751-3565
Entity
Organization
Contact information
Practice address
112 ALEXANDER ST # B, TAOS, NM 87571-6278
(505) 770-6713
(505) 751-7231
Mailing address
7479 NDCBU, TAOS, NM 87571-6177
(505) 770-6713
(505) 751-7231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4519
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0211
—
NM
01
—
NM100657
VALUE OPTION PROVIDER NUM
NM
Enumeration date
05/08/2007
Last updated
08/22/2020
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