MODERN MYSTIC, LLC

SANTA FE, NM
NPI1720445679
Other NameROXANNE MERCURIO
Entity TypeOrganization
Authorized ContactROXANNE MERCURIO
Licensed Mental Health Counselor
505-231-3786
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: NM  T-0174411)
Enumeration Date2016-01-23
Last Update Date2016-01-23
Business Address
MODERN MYSTIC, LLC
2213 BROTHERS RD
SANTA FE, NM 87505-6993
Phone number: 505-988-7616
Mailing Address
MODERN MYSTIC, LLC
9 BONITO RD
SANTA FE, NM 87508-8793
Phone number: 505-231-3786