Santa Fe Supportive Therapy, LLC
NPI #1043502388 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1043502388
- Entity Type
- Organization
- Organization Name
- Santa Fe Supportive Therapy, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 4, 2011
- Last Updated
- Jan 29, 2015
Practice Location
- Address
- 1418 LUISA ST STE 5A
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4091
- Phone
- (505) 926-0906
Authorized Official
- Name
- ANIKA M KELSO, LISW
- Title
- OWNER/PSYCHOTHERAPIST
- Phone
- (505) 926-0906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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