Pueblo De San Ildefonso
Pueblo De San Ildefonso is a Mental Health Counselor in Santa Fe, New Mexico. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 6
Practice location Address checks out
2 Tunyo PoSanta Fe, NM 87506-7258
Phone: (505) 455-2395
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Community Health Clinic/Center | Taxonomy 261QC1500X |
| State or Local Public Health Clinic/Center | Taxonomy 261QP0905X |
Record details
| NPI number | 1184208225 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Troy Campbell — Director Health And Human Services · (505) 692-5943 |
| NPI enumerated | May 5, 2021 |
| Last updated in NPPES | March 20, 2022 |
| Certification date | March 20, 2022 |
| Mailing address | 2 Tunyo Po, Santa Fe, NM 87506-7258 |
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