Organization · NPI-2
Alegre Psychotherapy And Counseling, LLC
Social Worker, Clinical · Santa Fe, NM
NPI number1417328303
StatusActive
Last updated in NPPESOct 17, 2015
Details
- NPI
- 1417328303
- Entity type
- Organization (NPI-2)
- Legal business name
- Alegre Psychotherapy And Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2015
- Last updated
- Oct 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I-08219 | NM | Yes |
Practice location
8 El Cerro TrlSanta Fe, NM 87508-8090
Phone 505-699-7422
Mailing address
8 El Cerro TrlSanta Fe, NM 87508-8090
Phone 505-699-7422
Authorized official
Michael Allan Budnik
Owner
5056997422
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