Golden Willow Counseling LLC
NPI #1346786902 in Taos, New Mexico
Provider Information
- NPI Number
- 1346786902
- Entity Type
- Organization
- Organization Name
- Golden Willow Counseling LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 6, 2017
- Last Updated
- Apr 3, 2020
Practice Location
- Address
- 412 SIPAPU ST
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6498
- Phone
- (575) 770-9513
Authorized Official
- Name
- LAWRENCE A MEDINA, MBA
- Title
- PRACTICE MANAGER
- Phone
- (505) 470-2887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Community/Behavioral Health |
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