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1063145738
OBSIDIAN PSYCHOTHERAPY, LLC
SANTA FE, NM
NPI
1063145738
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Entity Type
Organization
Authorized Contact
LELAND GUTHRIE
Clinical Psychologist
505-927-9169
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
OBSIDIAN PSYCHOTHERAPY, LLC
1482 S SAINT FRANCIS DR STE B
SANTA FE, NM 87505-4098
Phone number: 505-927-9169
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Mailing Address
OBSIDIAN PSYCHOTHERAPY, LLC
12B ECKARDS WAY
ESPANOLA, NM 87532-9878
Phone number:
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