Self-Discovery Recovery LLC
NPI #1497537658 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1497537658
- Entity Type
- Organization
- Organization Name
- Self-Discovery Recovery LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 20, 2023
- Last Updated
- Jan 14, 2024
Practice Location
- Address
- 1052 MAIN ST NE
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-7436
- Phone
- (505) 603-8633
Authorized Official
- Name
- GERASIMOS DEMOSTHENIS KLONIS, LPCC
- Title
- MANAGER
- Phone
- (505) 603-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Counselor - Professional — Professional |
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