Tessa's Therapies INC
NPI #1013470780 in San Miguel, New Mexico
Provider Information
- NPI Number
- 1013470780
- Entity Type
- Organization
- Organization Name
- Tessa's Therapies INC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 10, 2019
- Last Updated
- Sep 27, 2019
Practice Location
- Address
- 177 DE RODRIGUEZ LN.
- City
- San Miguel
- State
- New Mexico
- ZIP Code
- 88058
- Phone
- (575) 644-9861
Authorized Official
- Name
- THERESA A. ONTIVEROS, LCSW
- Title
- CLINICAL DIRECTOR
- Phone
- (575) 644-9861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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