| NPI | 1497058184 |
|---|---|
| Doing Business As | LISA ANN CELOSSE |
| Entity Type | Organization |
| Authorized Contact | LISA A CELOSSE Lpcc. Lmft 505-720-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0104011) |
| Additional Taxonomies | 251S00000X (Licence: NM 0091031) |
| 251S00000X (Licence: CA mfc38644) | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |