Roots Eco-Therapy, LLC
NPI #1255966644 in Tijeras, New Mexico
Provider Information
- NPI Number
- 1255966644
- Entity Type
- Organization
- Organization Name
- Roots Eco-Therapy, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 6, 2020
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 8 MOOTS CT
- City
- Tijeras
- State
- New Mexico
- ZIP Code
- 87059-7004
- Phone
- (505) 363-3933
Authorized Official
- Name
- KARLA G ISMAY, LPCC
- Title
- OWNER/OPERATOR
- Phone
- (505) 363-3933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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