NPI | 1174994081 |
---|---|
Doing Business As | SUSAN M. BIENVENU, LPCC |
Entity Type | Organization |
Authorized Contact | SUSAN M BIENVENU Vice President 505-920-0633 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NM 0175331) |
Enumeration Date | 2015-10-18 |
Last Update Date | 2015-10-18 |