3 Moon Therapy LLC
Social Worker, Clinical in Albuquerque, NM. Organization (NPI-2).
NPI number1124759006
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1124759006
- Entity type
- Organization (NPI-2)
- Legal business name
- 3 Moon Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2022
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
10913 Apache Ave NeAlbuquerque, NM 87112-3203
Phone 505-234-6005
Mailing address
Po Box 53104Albuquerque, NM 87153-3104
Phone 505-234-6005
Authorized official
Mary Duncan
Therapist
5052346005
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