NPI 1043502388

Santa Fe Supportive Therapy, LLC

Organisation Clinical Social Worker Santa Fe, NM

Practice location

Address: 1418 Luisa St STE 5a, Santa Fe, NM 87505-4091
Phone: (505) 926-0906
Fax: (505) 926-0906
Mailing address: PO Box 6623, Santa Fe, NM 87502-6623

Authorised official

Name: Anika M Kelso
Title: Owner/Psychotherapist
Phone: (505) 926-0906

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence I-06699 (NM)

Other Social Worker providers in New Mexico →

Registry record

NPI: 1043502388
Entity type: Organization
NPI issued: 4 May 2011
Record last updated: 29 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.