Tribal Counseling and Wellness Center LLC
NPI #1548956907 in Gallup, New Mexico
Provider Information
- NPI Number
- 1548956907
- Entity Type
- Organization
- Organization Name
- Tribal Counseling and Wellness Center LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 17, 2023
- Last Updated
- Apr 17, 2023
Practice Location
- Address
- 707 N THIRD ST
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5239
- Phone
- (505) 918-7955
Authorized Official
- Name
- FERNANDO ORTIZ
- Title
- CREDENTIALING MANAGER
- Phone
- (575) 707-8150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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