Pueblo De San Ildefonso
NPI #1184208225 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1184208225
- Entity Type
- Organization
- Organization Name
- Pueblo De San Ildefonso
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 5, 2021
- Last Updated
- Mar 20, 2022
Practice Location
- Address
- 2 TUNYO PO
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87506-7258
- Phone
- (505) 455-2395
Authorized Official
- Name
- TROY CAMPBELL, LCSW
- Title
- DIRECTOR HEALTH AND HUMAN SERVICES
- Phone
- (505) 692-5943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Case Management |
| Community/Behavioral Health |
| Clinic/Center - Community Health — Community Health |
| Clinic/Center - Public Health, State or Local — Public Health, State or Local |
| Counselor - Mental Health — Mental Health |
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