Ivy League Counseling LLC
NPI #1982286308 in Roswell, New Mexico
Provider Information
- NPI Number
- 1982286308
- Entity Type
- Organization
- Organization Name
- Ivy League Counseling LLC
- Primary Specialty
- Social Worker
- Enumeration Date
- Apr 26, 2021
- Last Updated
- Apr 26, 2021
Practice Location
- Address
- 1407 HIGHLAND RD
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201-2146
- Phone
- (575) 840-9653
Authorized Official
- Name
- CHUCK IVY
- Title
- OWNER
- Phone
- (575) 840-9653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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