Organization · NPI-2

Affective Therapeutic Solutions LLC

Social Worker, Clinical · Rio Rancho, NM

NPI number1720408487
StatusActive
Last updated in NPPESApr 21, 2014

Details

NPI
1720408487
Entity type
Organization (NPI-2)
Legal business name
Affective Therapeutic Solutions LLC
Organization subpart
No
Enumeration date
Apr 21, 2014
Last updated
Apr 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI-07502NMYes

Practice location

1005 21st St Se
Suite 11
Rio Rancho, NM 87124-4030

Phone 505-264-1698 · Fax 505-359-3243

Mailing address

1005 21st St Se
Suite 11
Rio Rancho, NM 87124-4030

Phone 505-264-1698 · Fax 505-359-3243

Authorized official

Jamie Lynn Gonzales
Owner/Therapist
5052641698

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