Agave Psychotherapy LLC
NPI #1942929245 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1942929245
- Entity Type
- Organization
- Organization Name
- Agave Psychotherapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 22, 2022
- Last Updated
- Aug 22, 2022
Practice Location
- Address
- 7 AVENIDA VISTA GRANDE
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87508-9198
- Phone
- (505) 421-5325
Authorized Official
- Name
- ELIZABETH COLSON
- Title
- OWNER
- Phone
- (505) 421-5325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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