JONATHAN WALLACH

SANTA FE, NM
NPI1568811537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0181511)
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
-- JONATHAN WALLACH LMHC
2019 GALISTEO ST SUITE E2
SANTA FE, NM 87505-2143
Phone number: 505-983-8225
Mailing Address
-- JONATHAN WALLACH LMHC
2019 GALISTEO ST SUITE E2
SANTA FE, NM 87505-2143
Phone number: 505-983-8225
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