Lavender Roots Therapeutic Services
NPI #1659115640 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1659115640
- Entity Type
- Organization
- Organization Name
- Lavender Roots Therapeutic Services
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 1401 SOAVE DR SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-8849
- Phone
- (505) 490-1998
Authorized Official
- Name
- KATHRYN V SANDOVAL, LMFT
- Title
- OWNER
- Phone
- (505) 490-1998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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