JONATHAN WALLACH LPCC LLC

SANTA FE, NM
NPI1235014044
Entity TypeOrganization
Authorized ContactMONA HOOVER
Billing Supervisor
217-621-6595
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-08-11
Last Update Date2025-08-11
Business Address
JONATHAN WALLACH LPCC LLC
1010 MARQUEZ PL STE C
SANTA FE, NM 87505-1694
Phone number: 780-822-6795
Mailing Address
JONATHAN WALLACH LPCC LLC
13 LOMA SERENA
SANTA FE, NM 87506-7531
Phone number:
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