Copper Canyon Wellness, LLC
NPI #1811433212 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1811433212
- Entity Type
- Organization
- Organization Name
- Copper Canyon Wellness, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 10, 2017
- Last Updated
- Jan 10, 2017
Practice Location
- Address
- 1350 CENTRAL AVE
- Address 2
- SUITE 204
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-3244
- Phone
- (505) 660-2654
Authorized Official
- Name
- DAWN J BARR, LCSW
- Title
- OWNER
- Phone
- (505) 660-2654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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