Wildwoods Counseling LLC

NPI #1700651650 in Sandia Park, New Mexico

Provider Information

NPI Number: 1700651650
Entity Type: Organization
Organization Name: Wildwoods Counseling LLC
Primary Specialty: Psychologist
Enumeration Date: Nov 21, 2023
Last Updated: Nov 21, 2023

Practice Location

Address: 54 SKYLINE DR # USA
City: Sandia Park
State: New Mexico
ZIP Code: 87047-9306
Phone: (505) 975-7723

Authorized Official

Name: DR. CHRISTOPHER DOUGLAS BLAZINA, PHD
Title: PSYCHOLOGIST/ WILDWOODS COUNSELING
Phone: (505) 975-7723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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