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NPI Code Detail

MEDICARE: ARTESANA COUNSELING AND ART THERAPY LLC

MEDICARE: ARTESANA COUNSELING AND ART THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1922710367
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTESANA COUNSELING AND ART THERAPY LLC
Provider Business Mailing Address
First Line : 1629 STATE ROAD 502
Second Line :
City : SANTA FE
State : NM
Zip : 87506-2691
Country : US
Telephone Number : 505-819-9966
Fax Number :
Provider Business Practice Location Address
First Line : 1520 CENTER DR STE 2
Second Line :
City : SANTA FE
State : NM
Zip : 87507-9745
Country : US
Telephone Number : 505-819-9966
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ISABEL RIBE
Credential :
Telephone Number : 505-819-9966
Provider Enumeration Date : 12/16/2022
Last Update Date : 12/16/2022

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Directions to “ARTESANA COUNSELING AND ART THERAPY LLC ” Practice Location

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